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1000 Lives Plus S.T.O.P. Campaign Pack Page 1 of 16
Campaign Communications Pack
This pack supports the 1000 Lives Plus‟ Reducing
Healthcare Associated Infections programme area
and has been created for teams taking forward this
work and the communications team within their
organisations.
All the resources can be found online at:
www.1000livesplus.wales.nhs.uk/STOP
1000 Lives Plus S.T.O.P. Campaign Pack Page 2 of 16
Contents
Introduction ... ... ... ... ... ... ... 3
Improving care through reducing the use
of cannulas and catheters ... ... ... 4
What‟s in this pack? ... ... ... ... ... ... 6
Using the resources in this pack? ... ... ... ... 7
Appendices:
A – The S.T.O.P. Communications Checklist ... 10
B – News item for internal communications ... 11
C - Photos ... ... ... ... ... ... ... 12
D - Press Release ... ... ... ... ... ... 13
E - Re-Order Form ... ... ... ... ... 15
Your feedback is important We would be grateful for your feedback on this campaign and the resources which have been produced to support it. Your feedback will inform the development of future campaigns and ensure the material produced is appropriate. Please could you send your comments to [email protected] 1000 Lives Plus – Improving care, delivering quality 1000 Lives Plus is the national improvement programme, supporting organisations and individuals to deliver the highest quality and safest healthcare for the people of Wales. www.1000livesplus.wales.nhs.uk The communication resources for this campaign have been made possible through the support of the Health Foundation. www.health.org.uk
1000 Lives Plus S.T.O.P. Campaign Pack Page 3 of 16
Did you know? Urinary tract infections are
the third commonest healthcare-associated infections in Wales, and account for 16% of all healthcare-associated infections.
Audits have shown that up to 7.3% of patients with a PVC have had an infection as a result.
Research shows that using just a very simple „Stop‟ order can reduce catheter-associated urinary tract infections by over 50%.
From The How to Guide for
„Reducing Healthcare Associated
Infections: Appropriate and timely
use of invasive devices‟.
Introduction
S.T.O.P. is a new campaign to reduce the unnecessary use of peripheral venous cannulas (PVCs) and urinary catheters in NHS Wales and wider community-based care. Patients with these devices are at risk of infection if the devices aren‟t applied or maintained correctly. It supports the 1000 Lives Plus‟ Reducing Healthcare Associated Infections programme area and has been created for teams taking forward this work and the communications team within their organisations. Frontline staff are being asked to S.T.O.P. and assess whether the patient they are caring for needs a device and if one is in place to question whether it‟s still needed and can be removed. S.T.O.P. prompts staff to:
Stop and ask if the device is really needed?
Think and give the necessary attention to detail, including clinical indicators for use.
Consider Options and whether there are alternatives.
And Prevent healthcare associated infections by ensuring the use and maintenance of invasive devices are as safe as possible.
The S.T.O.P. campaign has been produced with input from the Reducing Healthcare Associated Infections steering group, mini-collaborative, as well as communications officers from organisations across Wales. The posters and other resources will help you:
o To quickly raise the profile of the issue with colleagues;
o Support and encourage frontline staff to S.T.O.P. and consider whether PVCs or urinary catheters are needed - and to remove them as soon as they are no longer necessary.
1000 Lives Plus S.T.O.P. Campaign Pack Page 4 of 16
Improving care through reducing use of cannulas and catheters
Dr Eleri Davies, Director of the Welsh Healthcare Associated
Infections Programme and a member of the 1000 Lives Plus
Faculty, explains why this work and campaign is so
important.
The use of devices like urinary catheters and intra-venous
cannulas are often an important part of treatment for many
patients.
An urinary catheter is a small tube often inserted into a patient‟s bladder to
relieve them of urine following an operation or during an illness. Intra-venous
cannulas are inserted into the vein to allow intravenous medicines and fluids to be
given.
Unfortunately, both devices carry a small risk of infection because they can allow
bacteria into the body.
Reducing risk of infection
That‟s why the work currently being carried out by NHS Wales staff across health
boards to improve the use of these devices, and reduce numbers being used, is so
important. It will ensure we are doing all we can to reduce the risk of infection to
patients.
It has been introduced by 1000 Lives Plus, the national programme which is
supporting organisations and individuals to deliver the highest quality and safest
healthcare for the people of Wales.
I am fully behind this work, as I know from personal experience what can happen
when a cannula is left in longer than necessary.
As a junior doctor, many years ago now, I admitted a patient in acute heart failure
who had heart valve disease.
I knew I needed to give medication to treat the heart failure and that the best way
of doing this was through an intra-venous cannula.
I inserted the device and the patient was admitted to the coronary care unit to be
stabilised and the patient improved.
1000 Lives Plus S.T.O.P. Campaign Pack Page 5 of 16
This article is
available on the
Resource CD for
you to use in your
internal
communications.
At this point the patient was well enough to be transferred to a ward and no longer
needed intra-venous medications, so the intra-venous cannula could possibly have
come out.
However, either because the ward was busy or that it was felt that it would be
best to leave the cannula in place in case further treatment became needed again,
it was not removed and the patient developed an infection.
The infection spread rapidly from the cannula into the patient‟s blood and also
infected the already damaged heart valves which meant emergency heart valve
replacement surgery was needed.
Thankfully the patient survived the infection and the surgery, and was eventually
discharged from hospital.
Salutary lesson
The experience however, left an indelible print on my mind and was a salutary
lesson in the unintended harm that can result from medical devices, needed for
treatment, but that can lead to problems if left in too long.
The incident sparked in me a fervent interest in infection control and I am
wholeheartedly behind this new work to improve the way we deliver care.
By stopping, thinking and removing a device when appropriate, we really can help
to save lives and avoid patients suffering unnecessary harm.
Organisations have been implementing two new care bundles – a set of
interventions that work better together than separately – to improve care and
reduce infections.
Checklist
Staff are also being encouraged to use a checklist each time for every patient to
ensure the correct decision is made for them.
The work is already is showing signs of success with fewer
devices being inserted and infections reducing.
There are always going to be times when the insertion of an
urinary catheter or intravenous cannula is the best course of
action for patients and on occasions complications from the
use of medical devices may be unavoidable. However we
must minimise the risks as much as possible.
Further information is available at www.1000livesplus.wales.nhs.uk/STOP
1000 Lives Plus S.T.O.P. Campaign Pack Page 6 of 16
What’s in this pack?
This pack includes:
5 x A3 posters
15 x A4 posters
25 x A6 postcards
40 x self adhesive stickers
15 x coasters
Poster artwork and images
Photography
Template Press Release
Template internal news story
Resource CD with materials
The 1000 Lives Plus Quality
Improvement Guide
“By stopping, thinking
and removing a device
when appropriate, we
really can help to save
lives and avoid patients
suffering unnecessary
harm.”
Dr Eleri Davies, Director of the Welsh
Healthcare Associated Infections
Programme (WHAIP) and member of
the 1000 Lives Plus Faculty.
Banner artwork for use on websites
and internal newsletters and
documents – see Resource CD.
Photos to illustrate the use of a
PVC in your communications
activity – see Appendix C (pg 12)
and the Resources CD.
1000 Lives Plus S.T.O.P. Campaign Pack Page 7 of 16
Using the resources in this pack
POSTERS >>> In this pack you will find a selection of A3 and A4 posters. You can display these in numerous locations, for example:
Staff rooms
Nursing station
Store rooms
Supply cupboards and any other suitable areas.
You may wish to test these locations using a Plan, Do, Study, Act (PDSA) cycle. You can ask staff if they have noticed the posters and, if not move them to more visible locations.
Top Tip: Think about „footfall‟ - how many people will walk past a poster? Is there a way of positioning a poster in a place where people will walk towards it? For example, on the door of the staff room?
POSTCARDS >>>
Postcards carrying the S.T.O.P. order have also been produced and can be shared with colleagues. They can also be used in training sessions to provide staff with a reminder of what S.T.O.P. stands for – Stop, Think, Options, Prevent.
1000 Lives Plus S.T.O.P. Campaign Pack Page 8 of 16
SELF ADHESIVE STICKERS >>>
The pack includes sheets of stickers, which can be attached to disposable items (e.g. sharps bins) as a reminder to check whether PVCs and catheters are still needed. Please do not stick them to surfaces that may be damaged on removal or on clinical governance reports. It is also important to ensure stickers do not obscure clinical or other information.
COASTERS >>>
There are also coasters which can be used in break rooms, nursing stations and offices – in fact, any areas where colleagues will notice them.
Top Tip: Arrange a meeting with your Communications Team – they will already know about this campaign. Share with them the enclosed resources and discuss how you can work together to promote your work as part of the campaign.
RESOURCE CD >>>
On the disc you will find more useful materials for you to promote S.T.O.P. including:
Internal communications news story (see page 11): Personalise the story and ask your communications team to post it on your organisation‟s website. Include a photo of you and your team.
Template press release (see page 13): Fill in the blanks with the relevant details, supply a photo and ask the Communications team to send out to their press contacts.
Banner image (see Resources CD): Ask if this can be used on your website, newsletter and any related documents you may be producing.
Feature article (see pages 4-5): If you need further information for your website or newsletter, use the feature articles included in this pack.
Photographs (see page 12): A picture speaks a thousand words – we‟ve supplied photos that you can use in your internal and external communications. You can also use the images of the posters and stickers too!
1000 Lives Plus S.T.O.P. Campaign Pack Page 9 of 16
If your organisation uses social media, encourage them to tweet or post status updates to publicise the work on Twitter and Facebook. Think about tweeting yourself too!
Top Tip: Use the S.T.O.P. Communications Checklist on page 10 to raise the profile of the campaign and the work your team is doing to reduce healthcare associated infections in this area.
MATERIAL FOR GIVING A PRESENTATION >>>
If you need to give a presentation about the S.T.O.P. campaign to colleagues, you may find some of the material of the Resource CD helpful:
A presentation on the work of the programme area – which you may like to use as a base for your presentation – or draw slides from.
Videos filmed in Cwm Taf Health Board and Velindre Cancer Centre (Nov 2011) highlighting the way in which they are taking the work forward.
The campaign images and characters as jpegs to insert into your presentation.
Make sure you have posters and postcards to give to the people who are attending too! Use the Re-Order Form if necessary, see page 15.
1000 Lives Plus S.T.O.P. Campaign Pack Page 10 of 16
Appendix A: The S.T.O.P. Communications Checklist
The S.T.O.P. Communications Checklist:
Ten Things You Can Do!
No.
Action Complete
1. Display posters in all visible areas.
2. Distribute postcards to all staff involved.
3. Use the stickers – where appropriate.
4. Distribute coasters in break rooms and other staff areas.
5. Develop and deliver your own presentation to deliver to colleagues using the material provided (eg videos, images, slides).
6. Arrange a meeting with your organisation‟s Communications Team to discuss the campaign and your team‟s involvement in it.
7.
Provide your Communications Team with a story and photo for your organisation‟s intranet and staff newsletter, using the template story provided – see pg 11.
8. Provide your Communications Team with a press release, using the template release provided – see pg 13.
9.
If you‟re using social media (eg Twitter and Facebook) mention the campaign and the work you‟re involved in.
10. Once you‟ve used all the material – order more – using the re-order form provided – see pg 15.
1000 Lives Plus S.T.O.P. Campaign Pack Page 11 of 16
Appendix B: News Item for your organisation‟s internal communications – eg intranet, staff newsletter
New campaign to help reduce risk of infections
Health board staff are supporting a new campaign which will improve the use and
maintenance of catheters and cannulas.
Patients with these devices are at risk of infection if they aren‟t applied or used correctly.
The campaign is asking frontline staff to S.T.O.P. and assess whether the patient they are
caring for needs a device and, if one is in place, to question whether it‟s still needed or
can be removed.
S.T.O.P. prompts staff to Stop and ask is the device really needed? It encourages them to
Think and give the necessary attention to detail, to focus on Options and consider
whether there are alternatives. This will Prevent healthcare associated infections by
ensuring the use and maintenance of the devices is as safe as possible.
[ Insert Nursing/Medical director name ] said, “There are always going to be times when
the insertion of a cannula or catheter is the best course of action for patients. They can
be an important part of treatment, but are sometimes used when they aren‟t needed and
can cause complications if left in for too long.”
“By reducing the use of these devices and improving how they are maintained when they
are needed, we can ensure we are doing all we can to reduce the risk of infection to the
patient.”
The poster campaign features catheter and cannula characters alongside a large STOP sign
with the question: „Does your patient need us?‟
[ Insert name of clinician ] said, “The work we are doing
to reduce the use of invasive devices is already making a
real difference with infection rates dropping and patients
receiving better care.”
The S.T.O.P. poster campaign is part of the 1000 Lives Plus programme‟s focus to reduce healthcare associated infections. Further details can be found at: www.1000livesplus.wales.nhs.uk./stop
1000 Lives Plus S.T.O.P. Campaign Pack Page 12 of 16
Appendix C: Photographs
The following photographs are included on the Resource CD for you to use to illustrate the use of a PVC. They can be used to support S.T.O.P. communications activity on websites, in newsletters, presentations and to accompany press releases. We are grateful to colleagues at Velindre Cancer Centre for appearing in them.
1000 Lives Plus S.T.O.P. Campaign Pack Page 13 of 16
Appendix D: Press Release
PRESS RELEASE
[ Insert date ]
New campaign to reduce infections through improved use of catheters and cannulas
[ Insert name of organisation ] is supporting a new campaign to improve the safety of
patient care through better use of catheters and cannulas.
Patients with these devices are at risk of infection if they aren‟t applied or used correctly.
Frontline staff are being asked to S.T.O.P. and assess whether the patient they are caring
for needs a device and if one is in place to question whether it‟s still needed or could be
removed.
S.T.O.P. prompts staff to Stop and ask is the device really needed? It encourages them to
Think and give the necessary attention to detail, to focus on Options and consider
whether there are alternatives. This will Prevent healthcare associated infections by
ensuring the use and maintenance of them is as safe as possible.
[ Insert Nursing/Medical Director name ], said, “There are always going to be times
when the insertion of a cannula or catheter is the best course of action for patients. They
can be an important part of treatment, but they can sometimes be used when they aren‟t
needed and can cause complications if left in for too long.
“By reducing the use of these devices and improving how they are maintained when they
are needed, we can ensure we are doing all we can to reduce the risk of infection to the
patient.”
A catheter is a small tube often inserted into a patient‟s bladder to relieve them of urine
following an operation or during an illness. A cannula is inserted into the vein to allow
intravenous medicines and fluids to be given.
Both devices perform an important role, but carry a risk of infection which can result in
complications for the patient and a prolonged stay in hospital.
Urinary tract infections are one of the most common causes of healthcare associated
infections in Wales and the use of catheters increase their risk.
[ Insert your organisation’s
logo here ]
1000 Lives Plus S.T.O.P. Campaign Pack Page 14 of 16
Cannulas can allow bacteria directly into the bloodstream although the incidence of
infections is low.
S.T.O.P. will ask staff to consider firstly if the device is needed. If the answer is yes, then
it must only be inserted by trained personnel and fastidious care taken each and every
time to diminish the risk of infection.
The campaign is a key area of work for 1000 Lives Plus, the national programme
supporting organisations and individuals to deliver the highest quality and safest
healthcare for the people of Wales.
Posters distributed across health organisations to raise awareness amongst staff feature
catheter and cannula characters alongside a large STOP sign, with the question „Does your
patient need us?‟
[ Insert name of clinician ] said, “Reducing the risk of healthcare associated infections is
a priority and this new campaign will ensure staff are aware that such devices are not
always necessary.
“If we reduce the risk of infection then we avoid complications, reducing the length of
time patients are in hospital and the number of readmissions.
“It ensures the care we deliver is as good as it can be and allows greater efficiency,
enabling more patients to be treated.”
The S.T.O.P. campaign will build on the good work already in place across Wales to reduce
healthcare associated infections in these areas.
Dr Eleri Davies, Director of the Welsh Healthcare Associated Infections Programme and
1000 Lives Plus Faculty Member, said, “This new focus will enable healthcare staff to stop
and consider if the device is really needed.
“The message is simple and clear, yet it will make a real difference to the quality and
safety of care delivered to the patient.
“Organisations are committed to winning the battle against healthcare associated
infections and the S.T.O.P. campaign is supporting them to achieve this aim.”
ENDS
For further information, please contact [ Insert name of Communications Officer ] on
[ Insert contact details ] or visit www.1000livesplus.wales.nhs.uk/STOP
Notes to editors
[ Insert notes about your organisation ]
1000 Lives Plus is the national improvement programme supporting organisations and individuals to deliver the highest quality and safest healthcare for the people of Wales.
1000 Lives Plus S.T.O.P. Campaign Pack Page 15 of 16
Appendix E: Re-Order Form
Re-order form
Campaign resources Quantity needed – please circle
A4 Poster
5 / 10 / 20
A3 Poster
5 / 10 / 20
Postcards
10 / 25 / 50
Coasters
10 / 20
Stickers (8 per sheet)
5 (40) / 10 (80)
Your name _____________________________________________________
Job title _____________________________________________________ Delivery address __________________________________________________
_____________________________________________________
Post code _____________________________________________________ Email _____________________________________________________ Contact phone no _________________________________________________
Please return this form to: [email protected]
1000 Lives Plus S.T.O.P. Campaign Pack Page 16 of 16
For the latest information and resources for the S.T.O.P. campaign visit
www.1000livesplus.wales.nhs.uk/STOP