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INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care Unit Baystate Health System. Janine Niedziela ADN, RNC-nic. GOAL. Reduce the incidence of Hospital acquired infections by engaging and motivating staff. Reinforce Best Practices.

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infection prevention improvement neonatal intensive care unit baystate health system

INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care UnitBaystate Health System

Janine Niedziela ADN, RNC-nic

slide2
GOAL

Reduce the incidence of Hospital acquired infections by engaging and motivating staff

reinforce best practices
Reinforce Best Practices

Must be implemented, understood and followed by all Staff members

  • Reduce Catheter Related Bloodstream Infections
    • Dedicated insertion team, aseptic practice, 1-2 minute scrub the hub, removal of lines
  • Reduce Ventilator Associated Infections
    • HOB elevated 15-30 degrees
    • Closed in line suction for all vented patients
    • Separate system for oral suctioning
    • Vent Circuits changed every 7 days
  • Environmental cleaning and disinfection
    • Q 4 hours and as necessary with 10% bleach solution
  • Implement a strong Hand Hygiene program
    • Includes alcohol hand rub at bedside, ‘knock on the door’ concept for hand hygiene, hand hygiene champion program
what s really made the difference
“Wipe Off Board- Real Time Reflection” ‘Puts a Face’

Updated by infection control

Visible to all, family members included

The board fosters competitive behavior in the unit.

What’s really made the difference???
unit based engagement and feedback
Unit Based Engagement and Feedback
  • Device Related Infections
    • Including days between infections
    • 1 VAP in 4 years
    • > 300 days since CLABSI
  • Device Utilization
    • Decreasing line days per quarter
  • Hand hygiene Rates
    • 100 % achieved for 3 months