INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care UnitBaystate Health SystemJanine Niedziela ADN, RNC-nic

GOALReduce the incidence of Hospital acquired infections by engaging and motivating staff

Reinforce Best PracticesMust be implemented, understood and followed by all Staff membersReduce Catheter Related Bloodstream InfectionsDedicated insertion team, aseptic practice, 1-2 minute scrub the hub, removal of linesReduce Ventilator Associated InfectionsHOB elevated 15-30 degreesClosed in line suction for all vented patientsSeparate system for oral suctioningVent Circuits changed every 7 daysEnvironmental cleaning and disinfectionQ 4 hours and as necessary with 10% bleach solution Implement a strong Hand Hygiene programIncludes alcohol hand rub at bedside, knock on the door concept for hand hygiene, hand hygiene champion program

Whats really made the difference???

Wipe Off Board- Real Time Reflection Puts a FaceUpdated by infection controlVisible to all, family members includedThe board fosters competitive behavior in the unit.

Unit Based Engagement and FeedbackDevice Related InfectionsIncluding days between infections1 VAP in 4 years> 300 days since CLABSIDevice UtilizationDecreasing line days per quarterHand hygiene Rates100 % achieved for 3 months