Hospital Story Jennifer Zeck, RN, BSN, CNOR Infection Preventionist - - PowerPoint PPT Presentation

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Hospital Story Jennifer Zeck, RN, BSN, CNOR Infection Preventionist - - PowerPoint PPT Presentation

Hospital Story Jennifer Zeck, RN, BSN, CNOR Infection Preventionist Good Samaritan Regional Medical Center Corvallis, Oregon About Us Largest hospital of five that are a part of Samaritan Health Services 188 Beds Level 2 Trauma


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SLIDE 1

Hospital Story

Jennifer Zeck, RN, BSN, CNOR Infection Preventionist Good Samaritan Regional Medical Center Corvallis, Oregon

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SLIDE 2

About Us

  • Largest hospital of five that are a part of

Samaritan Health Services

  • 188 Beds
  • Level 2 Trauma Center
  • Offers multiple comprehensive surgical

specialties

  • Teaching institution

2

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SLIDE 3

SSI Prevention Team Formation

  • Multi-disciplinary

– Physician champion(s) – Administrative support – Front line staff

  • Recruit a “mole” inside the departments!
  • Find a “Mamma/Daddy hen” (project
  • rganizer)

3

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SLIDE 4

AIM Selection

  • Focused on NHSN reportable procedures
  • AIM development:

– “Zero Tolerance” was initial goal – Standardized Infection Ratio (SIR) change – Allow change

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SLIDE 5

Measure Selection

  • Reviewed literature, toolkits, “best-practices”
  • Actions to achieve outcomes component:

– Core and supplemental prevention strategies from CDC – SCIP measures

5

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SLIDE 6

Tests of Change- What to Test

  • Low hanging fruit

– Removing razors – Patient warming

  • Biggest “bang for the buck” measures

– Antibiotic management – Environment of care

  • Standardizing processes

– Order sets

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SLIDE 7

Tests of Change

  • Who:

– Mother Hen delegates – Rally the mole

  • How:

– Accountability essential – Small tests of change – Stay flexible

  • Assess Change: Infection Preventionist

7

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SLIDE 8

Barriers, and How We Resolved those Barriers

  • “We have always done it that way”

– Literature – Positive peer pressure – Data

  • Inertia vs. Apathy

– Make it relevant to each department/person – Visibility – “Success breeds success”

8

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SLIDE 9

Advice for Fellows

  • Get involved in something larger than yourself
  • Find the key players
  • Achieve early successes and SHARE them!
  • Don’t take on too much
  • Stay organized
  • Listen to front line staff
  • Audit practices periodically

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SLIDE 10

0.5 1 1.5 2 2.5 3 3.5 4 4.5

SSI %

Total SSI% Linear (Total SSI%)

GSRMC Total NHSN Rate: 2010-2012

  • 2012 overall NSHN Reportable Rate= 0.72%
  • 60% Decrease from 2010 Rate
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SLIDE 11

Wrap Up and Next Steps

  • Questions?
  • Next Tests of Change (TOC)

– Glucose management – Expanded MRSA/Staph screening program