Every Cloud has a Silver Lining

Every Cloud has a Silver Lining

Ms Maire Bermingham

Assistant Director of Corporate Support Services

Dr Naomi Baldwin

Senior Infection Prevention and Control Nurse

INTRODUCTIONINTRODUCTION

Post outbreak Clostridium difficile Combined multi-disciplinary approach to

reduce Healthcare Associated Infections Regain public confidence Ensure effective systems of communication

and accountability for Infection Control Challenges and changes

• Environmental Hygiene• Infection Prevention and Control

NHSCTDomestic Services

NHSCTDomestic Services

The Science of Cleaning in a Healthcare Environment

Ms Maire Bermingham

HOSPITAL CLEANLINESSHOSPITAL CLEANLINESS

Hospital cleanliness is a vital ingredient in the fight against HCAI’s but is also important in it’s own right as patient’s expect to be cared for in an environment that is clean, safe and fit for purpose.

Hospital cleanliness is everyone’s responsibility and everyone needs to play their part, not just the cleaners.

BOARD TO WARD APPROACHBOARD TO WARD APPROACH

• Sustained success requires:• A “Board to Ward” approach.• Highly visible leadership.• A multi disciplinary team approach involving

Domestic Services, Infection Control, Nursing and Estates Staff.

• Ensuring the culture of the organisation supports continuous improvement with staff supported to review, challenge, and feedback on performance and behaviours.

• Proactive and not reactive.

ASSURANCE FRAMEWORK - CLEANING MEASURESASSURANCE FRAMEWORK - CLEANING MEASURES

• Intensive cleaning process.• Daily cleaning audits signed off by Ward Manager

– accountability.• Cleanliness Matters audits.• Managerial cleaning audits.• Competency assessment review - Domestic

Assistants.

ASSURANCE FRAMEWORK-TRAINING FOR CLEANING STAFFASSURANCE FRAMEWORK-TRAINING FOR CLEANING STAFF

Cleaning in a hospital environment is a highly skilled role where staff need to understand how to complete the many and varied cleaning tasks.

Importance of a well trained and knowledgeable team of cleaning staff

British Institute of Cleaning Science accredited training.

Infection Control training for cleaning staff

Infection Prevention and Control

Infection Prevention and Control

Dr Naomi Baldwin

MEDIA CHALLENGE / PUBLIC PERCEPTION

MEDIA CHALLENGE / PUBLIC PERCEPTIONIssues

Pressure to staff Negative impact on morale Loss of public confidence

Trust approach Education / knowledge Empowerment to staff Communication Information/leaflets

Infection Prevention and ControlInfection Prevention and Control

ChallengesChallenges Engagement Isolation pressures Letting go Restructure of team and accountability

structure for Infection Control Change and introduction of new strategies;

High Impact Interventions Root Cause Analysis

Infection Prevention and ControlInfection Prevention and Control

Review of IPCN role/dutiesReview of IPCN role/duties On callOn call Introduction of Infection Risk Assessment Tool (IRAT) Equipment decontamination – assurances Education and training – Link Nurses

DVD e-learning High visibility in clinical areas Review of audit process Shift of responsibilities

Infection Prevention and ControlInfection Prevention and Control

Moving ForwardMoving Forward Communication - board to ward approach Collaborative effort More engagement Vision – advise, support and facilitate staff Much work to be done

HCAI TargetsHCAI Targets Trust achieved targets for reduction in C.diff

and MRSA bacteraemias (2009-2010).

New targets set for 2010-2011; further reduction of 18%.

Must sustain and develop strategies for ongoing success.

SUMMARYSUMMARY Clostridium difficile outbreak allowed the Trust to

focus on what was needed to deliver real improvements for Infection Prevention and Control standards.

Sustained success requires a “Board to Ward” approach where cleanliness and safe practices are at the forefront of everyone’s minds, with everyone playing their part.

Infection control everyone’s responsibility