Over the years I have pointed to Sophie Harnage RN, BSN, VA-BC,Consultant, Vascular
Access/Infusion, work concerning centerline associated bloodstream infections(CLABSI) prevention, a member of the family preventable diseases known as healthcare associated infections(HAI) as to what safe and efficient healthcare looks like.
Access/Infusion, work concerning centerline associated bloodstream infections(CLABSI) prevention, a member of the family preventable diseases known as healthcare associated infections(HAI) as to what safe and efficient healthcare looks like.
In my humble opinion the prevention of HAI will become the expectation as you visit your local healthcare facility rather than the high chance it may maim or kill you or a loved one in the near future.
Fortunately you may choose a healthcare facility that understands the linkage of safety and efficiency our Veterans are not so lucky so my advocacy for the prevention of HAI in our Veteran's hospitals supports the efforts of Sophie, regardless of commercial consideration, is based on the belief that supporting those that help others will someday influence the treatment our Veteran's receive.
So below is the "how to" pitch for our community hospital to eradicate CLABIS:
7/2/16
Hi,
I would like to introduce myself. I am Sophie
Harnage, retired from Sutter Health last year where I managed both the infusion
Center and the Vascular Access team. We developed a Central line bundle in 2006
that eliminated CLABSIs in over 18,000 PICC lines over a period of 8 years. I
currently am an independent consultant in Vascular Access/Infusion and have
been assisting a company with this program named AllPoints. We work with
facilities who are having struggles with high CLABSI rates. One CLABSI is one too
many seeing that these infections are not only preventable, they have a
mortality rate close to 24%! To make this even more REAL close to 1 in 4 of our
patients will expire from a CLABSI that we could have prevented.
The Bard AllPoints
training program utilizes Six Sigma principles in order to reduce variation and
improve standardization across the entire continuum of care for all central
line catheters. From insertion to removal AllPoints addresses each processes
required to care for central lines.
The process of
implementing AllPoints starts with a gap analysis of your current polices
against the governing standards. These policies cover your dressing
changes, blood draws, hub maintenance and medication administration. Each
of these areas impact the performance of a central line and the outcome for the
patient. We then perform site rounding and a staged assessment and share the
results of your practices with your team. From there we conduct unit champion
training and the detail of each of these steps is included in the brochure
specifically the flow chart at the end.
I am attaching a few
items for your review. I am including the following:
1. AllPoints Brochure
which includes the flow chart which lines out the entire program
2. Published articles
written by myself on our journey to ZERO
This is one if not the
most comprehensive program I have seen and developed that actually addresses
the front line nurses doing this work. The care and maintenance of these lines
is what continues to create high CLABSI rates. These infections are
Preventable. These infections are NOT inevitable or a result of complex high
acuity patients. I will be heading to MD Anderson in a couple of weeks as they
will be starting this program. If you are interested in learning how to get to
ZERO and more about this program named AllPoints as it addresses ALL points of
care I would be happy to meet with you. I am currently doing HOAG hospital and
St. Jude so I am down south quite often.
Thank you for giving
me the opportunity to share this work. I am very passionate about getting to
and sustaining to ZERO CLABSIs.
Sincerely,
Sophie Harnage RN,
BSN, VA-BC
Consultant Vascular
Access/Infusion
916-704-3795
To draw in your associates, first make the CLABSI issue genuine by recognizing a patient on your unit who experienced unnecessary mischief a CLABSI and impart that patient's story to your partners. When you impart the story to your associates and pioneers, inquire as to whether this is the sort of care they would need for their family, if this is care they are pleased with, and if this is the best your unit can do.
ReplyDeleteSecond, post the number, by month, of patients who built up a CLABSI and the aggregate number of CLABSI cases for the earlier year on your unit. Post a pattern line so medical caretakers and doctors can see initially the unit's CLABSI rate and how it changes after some time.
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