Quality and Safety
The ICUs in ICCC
What is MSICU, CVICU, CICU and MSNICU
What is CLABSI
Central-line associated bloodstream infection
UHN's CLABSI rate goal
What is 0.68
What is the optimum scrub time of an alcohol swab?
What is 15 seconds
The three priorities for ICCC Quality and Safety
What is:
1. Infrastructure
2. CLABSI
3. Data Mining
Common organisms causing CLABSI.
What is include staphylococcus aureus, enterococcus, candida, and gram negative organisms
MSICU Q3 CLABSI Rate
What is ___?
What does ANTT stand for?
Aseptic non-touch technique
The ICCC Medical Director
Who is Dr. Matteo Parotto
What is the timeframe for insertion-related CLABSI
What is a dwell time of < 3 days
What documentation is required for central line maintenance?
What is dressing change and line change in the LDA Avatar or IV assessment flowsheet
True or false: Continuous infusion sets (with or without secondary tubing) should be changed every 7 days or contaminated.
True
The ICCC Quality and Safety Director
Who is Dr. Maha Al Mandhari
What is the timeframe for maintenance-related CLABSI
What is a dwell time of > 5 days
Where can staff access CLABSI rates and trends for their unit?
Quality of Care dashboard, IPAC report and huddle reports.
Name 3 key interventions that have been proven to reduce CLABSI rates.
What is:
1. hand hygeine
2. maximal barrier precautions
3. ANTT
4. Daily assessment of line necessity
5. Insertion prevention bundle
6. Maintenance prevention bundle
True or False: An incident report should only be filed if a CLABSI is confirmed.
False. An incident report should be filed for any suspected infection, policy breach and/ or complications
True or False: : A primary bloodstream infection not related to an infection at another site, where a central line has been in place for >2 days prior to the date of positive blood culture.
What is true.
How does CLABSI impact patient outcomes?
What are increased length of stay, costs, morbidity and higher risk of complications?
What are the principles of ANTT?
A = always wash hands effectively
N = never contaminate key parts and key sites
T = Touch non key parts with confidence
T = Take appropriate infection prevention and control prevention