SOAP UP to Drive Harm DOWN Barbara DeBaun, RN, MSN, CIC North - - PowerPoint PPT Presentation

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SOAP UP to Drive Harm DOWN Barbara DeBaun, RN, MSN, CIC North - - PowerPoint PPT Presentation

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SOAP UP to Drive Harm DOWN Barbara DeBaun, RN, MSN, CIC North Dakota Webinar Series April 12, 2018 Polling Question My role is: Quality Leader Nursing Leader Infection Prevention Physician Front-line staff Other-

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SOAP UP to Drive Harm DOWN

Barbara DeBaun, RN, MSN, CIC North Dakota Webinar Series April 12, 2018

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  • My role is:
  • Quality Leader
  • Nursing Leader
  • Infection Prevention
  • Physician
  • Front-line staff
  • Other- please chat in your role

Polling Question

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Why the UP Campaign?

4 Key Components

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The UP Campaign reminds us… providers think of these important questions:

  • Did my patient WAKE UP enough to GET UP?
  • Did I SOAP UP to prevent infection?
  • Did I SCRIPT UP to make sure my patient is
  • n the right medications?
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SOAP UP

The goal is to be sure all clinical staff and visitors have clean hands to protect patients from infections

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Hand Hygiene

CDI CAUTI SSI VAE CLABSI Sepsis MDRO

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S O A P - U P

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Hand Hygiene Pioneers

Ignaz Semmelweis Florence Nightingale

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HH is Old News

1980’s: first nationally endorsed HH guidelines We get it right less than half of the time

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Polling Question

  • In general, patients at my hospital would do

the following if a staff member forgot to perform hand hygiene:

– Say nothing – Speak up

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We need to get it right!

  • Protect our patients

from HAI by performing HH.

  • Promote patient and

family engagement- give them permission to “speak up for clean hands.”

  • Promote patient HH for

patients.

10 http://www.cdc.gov/handhygiene/patients/index.html

“Ask me if I have washed my hands”

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MUST DO's

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SOAP-UP Must Do’s - beyond your current plan

Prompt Peer Performance Track Quietly and Trend Loudly Drive Drift Down

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MUST DO # 1 Prompt Peer Performance

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Polling Question

  • We have developed a verbal ‘reminder’ for

staff to use to prompt another staff member to perform hand hygiene

– Yes – No – No, but thinking about it

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Scripting Messages to Improve Practice

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What are your messages?

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MUST DO #2 Track Quietly and Trend Loudly

Hand Hygiene and Healthcare- Associated Infections

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Polling Question

  • We collect hand hygiene data by:

– Secret shoppers – Staff observe each other – Electronic badge technology – Patients/families observe and record – Other (chat in response)

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Track Quietly and Trend Loudly

10 20 30 40 50 60 70 80 90 100 January February March April May June HH Compliance HAI

New observers trained Scripting education

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SOAP UP Started

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Polling Question

  • We do the following with our hand hygiene
  • bservation data:

– Nothing, we just collect it – Share it at committee meetings, but that’s it – Post it in public areas for the world to see – Post it in private places like staff break rooms

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SOAP-UP Must Do #2

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MUST DO #3 Drive Drift Down

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Polling Question

  • This describes our facility best:

– We have improved hand hygiene compliance and sustained the improvement – We improved our hand hygiene compliance for a while but improvement didn’t sustain

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The Right Balance

Person model System model Important to get the balance right. Both extremes have their pitfalls.

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Shared Accountability

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What Works?

  • Observation and

surveillance of HH assesses compliance but it doesn’t always impact

  • Unscheduled observation

by trained observers

  • Intervene immediately if a

breach in HH is observed

  • Scripts for reminding

peers

  • Promote culture of safety

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Is it a barrier or an excuse?

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Brainstorming

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Brainstorming Exercise

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Multi-voting

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Consensus Building

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SOAP UP Check Point

To reduce CDI, CAUTI, CLABSI, SSI, Sepsis, MDRO and VAE:

✓ Do you display hand hygiene (HH) compliance results in highly visible places at the department/unit level? ✓ Have you implemented scripting to remind other team members to perform HH when it is not

  • bserved?

✓ Do you have a system in place that holds all team members accountable to the HH expectations?

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CHECK POINT

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and MDRO

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Boring Signs

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Emotional Signs

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Funny Signs

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Credible Signs

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Do Signs Change Behavior?

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Cute/Fun/Catchy Videos

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Dramatic Videos

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SOAP-UP: Make It Fun!!!

Thanks to Elkhart Health, IN

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Don’t be afraid to be silly

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Where in the world is Handi Sani-tizer?

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Campaign Slogan Creativity

Thanks to Idaho SHA

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Pins from Kentucky SHA

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Augusta Health, VA

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Engage/Innovate

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Red Rules

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Thanks for being a Lifesaver

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Hand Hygiene Targets/Goals

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Make Germs Visible

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Wash your hands with soap and water for at least 15 seconds or use the alcohol hand gel and rub hands until dry– before AND after you touch your patient OR their environment. Wash your hands with soap and water for at least 15 seconds or use the alcohol hand gel and rub hands until dry– before AND after you touch your patient OR their environment.

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Glo-Germ

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When all else fails to get their attention:

Science Project

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Time to Talk

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Barbara DeBaun, RN, MSN, CIC Improvement Advisor Cynosure Health 56