St John’s Community Hospital
Administration of IV Antibiotics
Administration of Intravenous Antibiotics Administration of Intravenous Antibiotics in in
St. John’s Community HospitalSt. John’s Community Hospital
Melissa Kelly A/CNM II
St John’s Community HospitalAdministration of IV Antibiotics
How did the initiative come about?How did the initiative come about?
• Previously administered in acute hospital settings• Trend now to deliver in home or Community Hospitals• Result of “Out Patient Parentral Antimicrobial Therapy
Clinical Care Programme”• No patient receiving IV AB who can be treated out of
hospital to remain as an inpatient• Pilot programme for administration of IV AB in the
community
St John’s Community HospitalAdministration of IV Antibiotics
How Pilot was IntroducedHow Pilot was Introduced• Introduced as part of Joint Implementation Group across
the Acute and PCCC Services• Meetings held with:
– Discharge Liaison and Senior Project Officer – Medical Consultants – Director of Nursing – Service Manager for Older People – Director of Nurse Education
• Clinical pathway introduced • Development of a policy • Staff education• Sourcing of equipment • Follow-up meetings – pilot date determined
St John’s Community HospitalAdministration of IV Antibiotics
Pilot ProgrammePilot Programme
Pilot
Pilot started July 2011 – Nov 2011
Six patients treated within pilot
29 Acute bed days saved
Reduction in transport costs
Positive Service User experience – “only for I could get IV AB in St. John’s, I’d be dead” – B Anderson 20/11/11
Positive Staff experience
No delay in activation of treatment
St John’s Community HospitalAdministration of IV Antibiotics
AcknowledgementsAcknowledgements• Acting Director of Nursing, St. John’s Community Hospital• Clinical Director • Doctors Paula Hickey, John Doherty and their medical teams • Dr. Sadiq, Medical Officer St. John’s Community Hospital • Frank Morrison, Acting Service Manager for Older People PCCC • Sligo General Hospital • Our Lady’s Hospital, Manorhamilton • Mary Quinn, Discharge Liaison Officer • Senior Projects Officer, Sligo General Hospital • Director of Nurse Education • Maureen Scanlon, IV Training Coordinator
Special thanks to the patients and their relatives!
St John’s Community HospitalAdministration of IV Antibiotics
Thank You for ListeningThank You for Listening
Melissa Kelly A/CNM II
St John’s Community Hospital
Sligo