1. Winchester Hospital B2 Infection Prevention Team Pam Linzer RN Karen Peters RN Karen Pimental RN David Gullbrand RN Chris Baskarakumar RN Erin Studley RN Executive Sponsor: Dr. Rick Iseke

2. Aim – Reduce hospital acquired multidrug resistant organisms on one unit in three phases over one year.  Front Line Workers- only way it was successful!  Discover and Action Dialogues More Alcohol Based Sanitizers- Wipes Identified patient and visitor teaching as necessity.  Change of Shift Huddles to educate and communicate  Encouraged non-punitive culture to “catch and remind” each other. Be proud we are the Infectious Disease Unit.

3. Phase 1: Hand Hygiene Compliance and Infection Rate 

4. Leadership Engagement  Imperative to have leadership engagement. Let us use his office for conference calls. Staff RN’s wanted to know if he was coming Press...and more press... Accolades …. and more accolades...  Our Newsletter- nursing and hospital-wide  Board of Directors  Medical Executive Committee

5. Lessons Learned  Found surprise positive deviants- a CA on evenings helped with most of the audits and learning conversations on her shift. Would include more disciplines next time.  Need to touch base regularly even if to huddle and make to do lists to keep forward momentum. Would do action plans from the beginning.  “Real work and progress” takes place during work time- not meeting time. Huddles work the best. AND p HAND HYGIENE IS # 1