NICU Trigger Tool

NICU Trigger Tool : 

NICU Trigger Tool AMH Safety Board Report February 2009

Preventable AE : 

Preventable AE

How are we doing : 

How are we doing

BSI Control Bundle : 

BSI Control Bundle Intrinsic Colonize gut with maternal BRM as early as possible Limit support lines Vigilant skin care Positive nitrogen balance (early TPN) Environment (bedside) Sterile barrier for CVL placement Vigilant hub care with fluid changes Track and limit CVL days ( 10d UV, 21d picc) Hand hygiene Jewelry/ False nail free In Line suctioning

Sustaining gains in 2008 : 

Sustaining gains in 2008 Link infection risks to clinical outcomes actively alert groups/ individuals regarding compliance and significance of breakdowns. Infection control liaison to work with Epidemiology on unit specific issues.

36 babies born <26 weeks in 2006-2007 Sepsis n-14, Avg BW 652g, No sepsis n=22, Avg BW =732g : 

36 babies born <26 weeks in 2006-2007 Sepsis n-14, Avg BW 652g, No sepsis n=22, Avg BW =732g

Getting to zero in 2009 : 

Getting to zero in 2009 Make zero a real goal. Develop checklist of bundles to evaluate infections if they occur- prevent routine variance from bundles Look for unit characteristics that may predispose to infections. Develop and institute VAP bundles

Check list for bundle compliance : 

Check list for bundle compliance 2008 6 BSI each infection had missed at least 1 component of the care bundle.

BSI Control Bundle : 

BSI Control Bundle Unit level characteristics Census Acuity Staffing

BSI and census : 

BSI and census

VAP/ BSI and ventilators : 

VAP/ BSI and ventilators

Conclusion : 

Conclusion Continue to redefine the goals Look for new ways to evaluate and respond to data. Reinforce bundles Develop new approaches Continue to promote group learning.

Slide 18: 

2005 2006 2007