Linda Huddleston, RN, MSN, MPHcDirector of Infection PreventionRobin Cater, RN, BSN, CCRNClinical Educator Critical Care/Cardiac Care Stepdown Unit

On the CUSP Adventure In 2009, ICU and CCU had a combined CLABSI rate of 1.06 We wanted to get to zero but how could we get there?

Enlightened Denise Flook contacted Infection Preventionists in Georgia and Enlightened them about a project from Johns Hopkins. On the CUSP (Comprehensive Unit-based Safety Program)

Peter Pronovost

One doctor, motivated by a high profile pediatric death at Johns Hopkins , led the charge that launched a persistent effort to "transform" that culture and improve patient safety.

EngagedA CLABSI Prevention team was formedIncluded representation from: ICU, CCU, ECC, anesthesia, Infection Prevention, staff nurses, PICC nurse, CNO, Director of OR, Medical Resident &Director of Residency , Vascular Liaison, and an ID consultant

EngagedSurveyed staff (60% completed)Created a central line bundleEducated staffCentral line checklistAsk daily if catheter can be removed (revised daily goal tool)Empowered nurses to SPEAK UP!

EncouragedDenise Flook, Peter ProvonostCoaching and content callsEach month we were at zero:CelebrationsIntranetSigns in units

EmpoweredCoached Staff to set an example and be Pro-active Any staff can stop the procedure Currently working on creating a Culture of Safety with a Speak Up program.

EvaluatedAssumed that everyone knew what a head to toe dressing was-discovered that we had a 46 drapeAssumed that checklists were being completed at the bedside-EMR was being used post-procedure Physicians are using more Picc lines now with CVP monitoring capacity

Getting to

January 2010- last CLABSI ICUuntil August 2011.. January 2008 last CLABSI CCU