Linda Huddleston, RN, MSN, MPHcDirector of Infection Prevention
Robin 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
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!
Encouraged
Denise Flook, Peter ProvonostCoaching and content callsEach month we were at zero:• Celebrations• Intranet• Signs in units
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.
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
Getting to……
January 2010- last CLABSI ICU…until August 2011…..
January 2008 –last CLABSI
CCU