1. Frontline Staff: A Force for Excellence in Reducing Hospital Acquired Infections Karen Peters MSN, RN-BC Clinical Nurse Specialist

2. Learning Objectives Identify pearls for choosing team members Utilize performance improvement (PI) tools to make changes Recognize some challenges of frontline staff

3. Getting Started

4. Baseline Data: HH

5. Baseline Data: MDRO/CDiff

8. Learning the Performance Improvement (PI) Process Flow Chart

9. Barriers to Using Correct PPE/ HH Staff Issues External Factors Attitudes Lazy Don’t care attitudes No one else is doing it, why should I? Resources Supplies hard to find Supplies are empty Lack of equipment No PPE available Knowledge Unaware of proper way Misinformed Just not remembering Not aware Forgetful Time

10. OccurrenceDetection Severity RPN 1Patient admitted to hospital with CDAD21714 2Patient becomes symptomatic32742 4Patient placed in private room1177 5MD contact about positive lab results22728 6Antibiotics administered22728 7Staff informed about new CDAD patient43784 8Sign hung887448 9Cart available for use with enough gowns/gloves/equipment937189 10Intervention added to the computer554100 11Precaution tape on chart984288 13Patient d/c with education210480 14Patient transfer to rehab with communication of CDAD1111 Flow Chart

15. Unit Hand Hygiene Trends

16. MDRO/CDiff: Infection Rate Trends (ppd):

17. Difficult conversations Team momentum Buy-in

18. Summation Team members should be true frontline staff. Utilize performance improvement (PI) tools to make changes to guide and validate changes…even for beginners! Challenges must be worked on continuously in order to be overcome.

19. Learning Objectives: Identify pearls for choosing team members Utilize performance improvement (PI) tools to make changes Recognize some challenges of frontline staff