Tuesday, November 27, 2007

Quintessentially PD- A "Central Line" Like Bundle created by the Housekeeping staff

Have just been trying to catch my breath from the past couple of weeks and this Thanksgiving so I am catching up- here is a little story I receive a little back:

Here are the photos [sorry that I had to link to the photos-which by the way will open up to a pdf file- long story- alot of technical details that I couldn't figure it out- but anyhow, sorry.] of what EMS came up with at VAPHS illustrating their check list for terminally cleaning patient rooms. The PD staff (resource group) gathered their peers whose behavior needed to change (learning group).

This is the product of their discussions with minor facilitation and advise from the Laura Morris (ICP) and Candace.
At the request of the EMS staff, these illustrations have been laminated, placed on rings and placed on each supply cart and in supply closets on each floor for ready reference. The process and the sense of ownership that it instilled have influenced some "housekeepers" to view room cleaning as an infection prevention process. One of the PD EMS staff actually views their new check list as comparable to the "bundles" used by RN's and MD's to prevent central line sepsis and ventilator pneumonia.

This captures much of PD: staff viewed as the experts by leadership, staff exercising their freedom and opportunity to co create a "penny solution" which is elegant in its simplicity and likely to endure because EMS staff created it and who ever turned their back on something they created? The other noteworthy dimension of this is the peer-to-peer sharing which quickly amplified the solution in both the acute and LTC facilities.


*So make sure you follow the link for the photos of the room checklist that they made*

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