Heroes of APIC: Sharp Injury Reduction and becoming an Assessment Hospital
|Jamie Swift, RN, CIC, FAPIC|
Corporate Director, Infection Prevention and Wound Care, Mountain States Health Alliance
Mary Jo Bellush RN, MSN, CIC
|Presentation #1: Establishing a Highly Infectious Disease Assessment Hospital|
In 2014 the world realized just how close we were to the threat of highly infectious diseases during the Ebola outbreak and subsequent spread to the United States. Hospitals across the country had to quickly prepare and train to respond to any patient who might arrive at their doorstep with Ebola, a disease most had never seen or treated. This presentation will focus on the work necessary to become an Assessment Hospital in the CDC and State Health Department's Highly Infectious Disease Treatment Network. These hospitals train and prepare to care for patients up to 96 hours until a diagnosis is confirmed. We will review the plans, training and ongoing communication necessary to ensure our team readiness at any time.
Presentation #2: Sharp Injury Reduction Guide: Innovative Strategies for Success
Mary Jo Bellush and Megan Kapolka
Identification, prevention and management of needle stick injuries are controlled through education, safety awareness and continuous improvement. Sustainability of the program must include executive level buy in. All needle stick injuries require the manager to complete a problem sheet and meet with senior leadership. This process will ensure that standard work was followed, the root cause of the exposure was determined, and the Plan-Do-Check-Act (PDCA) cycle was complete. The PDCA cycle identified staff knowledge gaps and led to targeted, department specific education particularly in surgical areas. Physicians were not aware of retractable safety devices and the standard work to use them. Physicians reported "breaking off" the safety needle cover due to an obstructed view of the surgical site. Under-utilization of neutral zones and the lack of safe hand to hand passing was also discovered. All physicians and ancillary medical staff were mandated to complete hands on education with safety devices and provided the opportunity to choose safety needle and syringe gauge and size to best suit their needs.
Marketing campaigns can be used as a tool for effective communication to staff. The Marketing Department teamed with Safety and Occupational Health to develop innovative, eye catching campaigns to spark staff interest.
Previous practice was reporting after the fact (lagging indicators) vs. programs to prevent sharp injuries (leading indicators). Ultimately all of these methods play a key role in sharp injury reduction.
Please note CE is not available for this program.