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Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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Robin Cater, RN, BSN, CCRN Clinical Educator Critical Care/Cardiac Care Stepdown Unit. Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention. On the CUSP Adventure. In 2009, ICU and CCU had a combined CLABSI rate of 1.06 - PowerPoint PPT Presentation
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Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention Robin Cater, RN, BSN, CCRN Clinical Educator Critical Care/Cardiac Care Stepdown Unit
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Page 1: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Linda Huddleston, RN, MSN, MPHcDirector of Infection Prevention

Robin Cater, RN, BSN, CCRNClinical Educator Critical Care/Cardiac Care Stepdown Unit

Page 2: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention
Page 3: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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?

Page 4: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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)

Page 5: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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.

Page 6: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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

Page 7: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Engaged• Surveyed staff (60% completed)• Created a central line bundle• Educated staff• Central line checklist• Ask daily if catheter can be

removed (revised daily goal tool)

• Empowered nurses to SPEAK UP!

Page 8: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Encouraged

Denise Flook, Peter ProvonostCoaching and content callsEach month we were at zero:• Celebrations• Intranet• Signs in units

Page 9: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Empowered

• Coached 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.

Page 10: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Evaluated“Assumed” that everyone knew what

a “head to toe” dressing was-discovered that we had a 46” drape

“Assumed” 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

Page 11: Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Getting to……

January 2010- last CLABSI ICU…until August 2011…..

January 2008 –last CLABSI

CCU


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