2.50
Hdl Handle:
http://hdl.handle.net/10755/157132
Category:
Abstract
Type:
Presentation
Title:
Nosocomial Infections? Get a CAT (Clinical Action Team)!
Author(s):
Madrid, Pamela; Berkowitz, Kathleen; Farber, Michelle; Weldon, Stacy; Bachmeier, Larry
Author Details:
Pamela Madrid, Mercy Hospital, Coon Rapids, Minnesota, USA, email: pamela.madrid@allina.com; Kathleen Berkowitz; Michelle Farber; Stacy Weldon; Larry Bachmeier
Abstract:
PURPOSE: There is an increased focus from patients, payers and ICU staff on nosocomial infections. A CAT (Clinical Action Team) was formed to decrease the rates of urinary tract infections (UTI) and blood stream infections (BSI). The goal of the ICU was to reduce infections to zero. To facilitate focused work on this goal, an IP CAT (Infection Prevention Clinical Action Team) was formed in October 2007. The team consists of 3 ICU staff nurses, CNS, and the hospital ICP who meet for four hours monthly. Description: Staff became content experts integrating best practice in daily work. They are role models for the rest of their peers and are willing to challenge them when they observe a "bad practice". Activities for BSI: a campaign to "scrub the hub" for 15 seconds, auditing tubing changes with follow-up education, and education concerning the importance of the Biopatch application. The team emphasizes the importance of the central line bundle by use of a checklist. Need for continuing is assessed daily. UTI prevention was also a key initiative for this team. A pilot of impregnated Foley catheters was completed with no statistical improvement in the infection rate. The DUR (device utilization ratio) is a tool that the team uses to measure intensity of use of Foley catheters. A Foley bundle was used to measure compliance with securement, peri-care, no dependent loops and removal if no longer needed. As the team is compiling the monthly audit, they use "misses" in the bundle as teaching moments. Hand hygiene compliance was observed for all roles during the meeting. They are willing to counsel their own peers and other roles are counseled by the ICP. The team believes that it is this "just in time" education that changes practice. EVALUATION: The rate of BSI from October, 2006 to September, 2007 was 3.15/1000 cath days. The rare of BSI from October, 2007 to September, 2008 was 1.73/1000 cath days which is a 45% reduction. The rate of UTI from December, 2006 until September, 2007 was 3.35/1000 cath days. The rate of UTI from October 2006 until September, 2008 was 3.38/1000 cath days. There was no increase in the rate. The DUR (cath days/patient days) from January 2007 until September 2008 was 0.76. The DUR from October 2007 until September, 2008 was 0.74 which is slightly closer to the benchmark of 0.66. The trend over the past three months is closer to the benchmark with one recent month actually below the benchmark.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNosocomial Infections? Get a CAT (Clinical Action Team)!en_GB
dc.contributor.authorMadrid, Pamelaen_GB
dc.contributor.authorBerkowitz, Kathleenen_GB
dc.contributor.authorFarber, Michelleen_GB
dc.contributor.authorWeldon, Stacyen_GB
dc.contributor.authorBachmeier, Larryen_GB
dc.author.detailsPamela Madrid, Mercy Hospital, Coon Rapids, Minnesota, USA, email: pamela.madrid@allina.com; Kathleen Berkowitz; Michelle Farber; Stacy Weldon; Larry Bachmeieren_GB
dc.identifier.urihttp://hdl.handle.net/10755/157132-
dc.description.abstractPURPOSE: There is an increased focus from patients, payers and ICU staff on nosocomial infections. A CAT (Clinical Action Team) was formed to decrease the rates of urinary tract infections (UTI) and blood stream infections (BSI). The goal of the ICU was to reduce infections to zero. To facilitate focused work on this goal, an IP CAT (Infection Prevention Clinical Action Team) was formed in October 2007. The team consists of 3 ICU staff nurses, CNS, and the hospital ICP who meet for four hours monthly. Description: Staff became content experts integrating best practice in daily work. They are role models for the rest of their peers and are willing to challenge them when they observe a "bad practice". Activities for BSI: a campaign to "scrub the hub" for 15 seconds, auditing tubing changes with follow-up education, and education concerning the importance of the Biopatch application. The team emphasizes the importance of the central line bundle by use of a checklist. Need for continuing is assessed daily. UTI prevention was also a key initiative for this team. A pilot of impregnated Foley catheters was completed with no statistical improvement in the infection rate. The DUR (device utilization ratio) is a tool that the team uses to measure intensity of use of Foley catheters. A Foley bundle was used to measure compliance with securement, peri-care, no dependent loops and removal if no longer needed. As the team is compiling the monthly audit, they use "misses" in the bundle as teaching moments. Hand hygiene compliance was observed for all roles during the meeting. They are willing to counsel their own peers and other roles are counseled by the ICP. The team believes that it is this "just in time" education that changes practice. EVALUATION: The rate of BSI from October, 2006 to September, 2007 was 3.15/1000 cath days. The rare of BSI from October, 2007 to September, 2008 was 1.73/1000 cath days which is a 45% reduction. The rate of UTI from December, 2006 until September, 2007 was 3.35/1000 cath days. The rate of UTI from October 2006 until September, 2008 was 3.38/1000 cath days. There was no increase in the rate. The DUR (cath days/patient days) from January 2007 until September 2008 was 0.76. The DUR from October 2007 until September, 2008 was 0.74 which is slightly closer to the benchmark of 0.66. The trend over the past three months is closer to the benchmark with one recent month actually below the benchmark.en_GB
dc.date.available2011-10-26T19:27:00Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:27:00Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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