Infection Prevention and Control in Pre-hospital Care in BC Lisa - - PowerPoint PPT Presentation
Infection Prevention and Control in Pre-hospital Care in BC Lisa Young Infection Prevention and Control Leader Objectives To provide some background to BCEHS BCAS PHSA The IPAC challenges in pre-hospital care New ventures
Lisa Young Infection Prevention and Control Leader
To provide some background to BCEHS
BCAS PHSA
The IPAC challenges in pre-hospital care New ventures
Some of the things we have been working on
1900’s
Pre-hospital care was principally a transport service provided by a wide range of commercial and municipal
1970
Foulkes report for the Ministry of Health
1974
The Health Emergency Act
1974 – 1980’s - Transition period
Standard setting, training Advanced Life Support, Infant Transport Team Centralized Dispatch Integration of air and ground ambulances
944,735 km2 Population of 4.4 million 413,123 911 calls 90,920 inter-facility transfers 6,700 air ambulance calls 4,396 staff 184 ambulance stations 500 ambulances
BCEHS BC Ambulance Service Patient Transfer Network
Space Location Available resources Uncontrolled environment Geography Standards and regulations
Policy Compliance Lack of control over the environment Glove use Bare below the elbows
A B Proven
A B Proven Proven
Time restraints Equipment Resources Education
Dispatch Patient Transfer Network Number of inter-facility transfers per week
Review of IPAC resources within BCEHS Recommendations
IPAC Program with a Leader IPAC Committee
IPAC Leader appointed in May 2013
Provincial program
Consult on practices, standards and service Strategic planning Policies and procedures Education Standardization of products
Based in Victoria Soft opening in May 2013 Official opening December 10th 2013 6 ambulance stations under one roof Logistics team
Standardization of the stock in ambulances Stock rotation and packaging Cleaning of vehicles Quality control
Collaborative venture between BCAS and Northern Health Low acuity inpatients who require treatment at another site 504,000 911 calls – 20% of which were inter- hospital transfers Runs between Burns Lake, Vanderhoof and Prince George Monday to Friday except stats Team of 3 paramedics on a shift rotation 7 seat bus
IPAC Risk assessment of patients to be transported Hand hygiene Policies and procedures Collaboration with Northern Health Learnings
Design features
Paramedics are included in the HA audits as “other”
Data to be collected in a manner that allows the paramedic to be extracted Numbers likely very low Generally only captures the after patient contact moment
0% 20% 40% 60% 80% 100% Nursing Staff Physicians Clinical Support Services Others
Challenging – just in terms of observing staff IPAC Canada’s Pre-hospital Care Working Group
Development of a model based on the Safer Healthcare Now audit tool and one used by Sunnybrook Hospital, Toronto Education tool to support training auditors
4 moments for Hand Hygiene
Patient environment or zone
Challenging – just in terms of observing staff IPAC Canada’s Pre-hospital Care Working Group
Development of a model based on the Safer Healthcare Now audit tool and one used by Sunnybrook Hospital, Toronto Education tool to support training auditors
4 moments for Hand Hygiene
Patient environment or zone