• Sidebar: How Nash Reduced MRSA Infections

    Mar 21, 2011

    Wanda Lamm, infection prevention coordinator at Nash Health Care Systems, credits a multistep approach the hospital implemented to reduce its MRSA infection rate by 84 percent over the past four years.

    • Team approach-multiple departments serve on team
    • Active monitoring of hand hygiene and use of personal protective equipment (PPE)
      • Deadlines set for submitting data, which is reported to all departments monthly
        • Data posted on communication boards monthly
        • Data presented during hospital and medical staff committee meetings, as well as to the Quality Leadership Council (comprising senior leadership and board members) quarterly
      • Goals set and an action plan required if the goals are not met
      • Campaigns to increase awareness and to reward good behavior
        • "I Got Caught" campaign-team members distributed pens with the slogan and gave positive reinforcement
        • Staff entered in a quarterly drawing for an additional prize pack
        • Winners had their picture taken and posted on hospital's intranet
      • Peer coaching to encourage hand hygiene and PPE
      • Town hall meetings where senior administration discuss data with staff
      • Corporate goal set for compliance with hand hygiene and PPE
        • Monetary reward offered if goal is met (hospital met goal in 2010)
    • Increase signage regarding hand hygiene
      • Screen savers
      • Signs in units
    • Increase access to waterless hand sanitizer
    • Increase access to disinfectant wipes by placing brackets or packs on mobile equipment
    • Change policy to require use of gown and gloves for entry into each contact isolation room
    • Place PPE organizers on the door of the isolation patient room
    • Expand the active surveillance program
      • Computerized screening assessment questions and automatically dropped orders for screens if answered "yes"
      • Switched screening methodology from standard culture to CHROMagar to provide a more rapid result
      • Changed policy on when to discontinue isolation and remove MRSA flags based on literature review
    • Focus on room and equipment cleaning
    • Implement performance improvement teams for reducing central line-associated bloodstream infections and ventilator pneumonia

    Source: Nash Health Care Systems 

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