Review: Best Practices, Conference Summaries, Overview of Keynote and Bonus IP Sessions SFBA APIC...
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Conference Summaries, Overview of Keynote and Bonus IP Sessions SFBA APIC Chapter Meetings 2014 http://aboutinfectioncontrol.com/SubWebs/AP IC/Index.htm http://community.apic.org/sanfranciscobayar ea/home Old website New website
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Transcript of Review: Best Practices, Conference Summaries, Overview of Keynote and Bonus IP Sessions SFBA APIC...
Review: Best Practices, Conference Summaries, Overview of Keynote and Bonus IP Sessions SFBA APIC Chapter Meetings 2014
http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htmhttp://community.apic.org/sanfranciscobayarea/home
Old websiteNew website
Best Practices
Karen Anderson and Kim Stanley - Getting to the REAL problem with SSIs – for more information: [email protected]
Results
Mike Whitehair Environmental Cleaning at Sutterfor more information: [email protected]
• Best Practice: Daily and terminal cleaning of everything (room, equipment, surfaces) with bleach• Proposed spread strategy(s): Trial in one unit, then spread house-wide• How do you know it works? C diff rate decreased 11.5/10,000 patient
days (2011) to 7/8/10,000 patient days (2013)• Challenges encountered: Bleach damage equipment, mattresses, Staff
concern odor, Tips for Success• Strategies for success: Vet through management councils – let execs
know that without their support and willingness to act as part of the team, no point in IPs leading the project (only one voice)
• Best practice - Antibiotic stewardship with dedicated Pharmacist and ID physician• How do you know it works? Published studies showing antibiotic use
increases risk of CDI; Plan to compare CDI rates and antibiotic utilization• Challenges encountered: Grant application, Inadequate staffing• Tips for Success: Need dedicated FTE (.3 – 1.0) Dedicated time for ID
physician and Pharmacist; Cost savings analysis
Peter Kolonoski CDI Prevention at CPMCfor more information: [email protected]
• Best Practice: Pre op screening for total joint, heart, spine cases; CHG pre op bathing; Vanco pre op for MRSA+ patients, Ancef for MSSA; Dedicated sterile wound closure tray for end of case; C section patients instructed no shaving for 1 week prior• How do you know it works? SSI rates decreased• Challenges encountered: Surgeon engagement and support, Allergy
to CHG• Tips for Success: Involve stakeholders, no shaving for 1 week prior
Bernie Revak SSI Prevention at Valley Carefor more information: [email protected]
• Best practices: Early mobility even for patients on ventilator – getting patients out of bed, out of room; Oral care 6x/24 hours; Proning patients in ICU (scheduled); Clean/disinfect respirator daily by RT; Daily audit of documenting all above first by Nursing – now just by RT; • How do you know it works? HAP rate decreased• Challenges encountered: Changes in workflow for RT, Documenting
compliance in EMR, Collaboration b/w RT and Nursing; Bariatric patients – hard to move• Tips for Success: Use electronic medical record for prompts,
reminders, documenting process measures
Kinnery Patel and Sandra Kisler HAP Preventionfor more information: [email protected]
• Best practice: Standardizing skin prep to Chloraprep, Patient education pre op bathing, Staff hand hygiene training, Surgeon education pre op bathing and Chloraprep, MRSA decolonization in ICU (Mupirocin or Bactroban)• How do you know it works? SSI rates decreased, Published studies
supporting use of CHG to reduce SSI rate/risk• Challenges encountered: Surgeon practice change• Tips for Success: Collaboration – Surgeons, Education dept, OR
techs, OR Nurses, Leverage vendor reps for staff education and training and to answer questions/concerns
Panna Tailor SSI Prevention for more information: [email protected]
Susan Garritson, RN, PhD, MBA, CIC Chlorhexidine Bathing at UCSFfor more information [email protected]
Sue Barnes – SSI Prevention OR Observation Project in KP For more information: [email protected]
Sasha Madison: TJC collaborative to decrease colorectal SSI for more information: [email protected]
Doe Kley Santa Clara KP – One minute contact time For more information: [email protected]
Key Note and Bonus IP
Presentations
Sarah Simmons, MPH CIC: Automated UV room disinfection (Xenex) for full slide set see website: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Kim Delahanty: A 3 Step HAI Prevention Program for more information: [email protected]
Stacey Nieporte Affordable Care Act – Impact on IPs For entire slide set see website at: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Chuck Edmiston, PhD: SSI Prevention – sponsored by Sage for entire slide set see APIC website at: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Michelle (Chellie) DeVries, IP Director Methodist Hospital - Peripheral IVs: THINK BIG. Look Small – sponsored by J&J Ethicon – for full slide set see APIC website at: http://community.apic.org/sanfranciscobayarea/home
Conference Presentation Summaries –
Scholarship Recipients
Cheryl Flesner: Lessons learned from the Field: Successful Strategies in the Emergency Department (#1305) For more information: [email protected]
Jeremiah S Schuur, MD, MHS, Eileen Carter, RN, BSN,
APIC Conference 2014
May Riley - IP Role Recognition: Developing a Professional Advancement Ladder for IPs slide set here: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Sandra Kistler Why Healthcare Professionals Inhibit Medical Advances full slide set: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Rowena Aseo - IP Education: Focusing on strategies for successful IC education of healthcare personnel for full side set: http://aboutinfectioncontrol.com/SubWebs/APIC/Index.htm
Renee Juster “Cultivating Executive Champions”for more details: [email protected]
Carol Garcia "Diagnosing or Misdiagnosing TB: are the days of TB skin tests over?“ – for more details: [email protected]
