MRSA:

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MRSA Plan Do Study Act
Presented By Indira Gujral, Infection Control
Coordinator Steve Eberle, Patient Safety Officer
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Presentation Goals

• Describe the Intersection of Patient Safety
  Infection Control
• Discuss Key Collaborative Efforts to Prevent the
  Spread of MRSA
• Hand Hygiene
• Isolation
• MRSA Surveillance

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Intersection of Patient Safety Infection
Control Efforts

• Collaborative Efforts
• Hand Hygiene
• Isolation
• MRSA

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Hand Hygiene

• Problem
• Reports of skin irritation in a 4 month period
• Intervention
• Change in soap products
• Pilot study of hand lotion
• Outcome
• 2 new cases in a 7 month period

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Hand Hygiene Compliance

• National Patient Safety Goal 100
• MCR Patient Safety Audits 99 (1340/1347)
• MCR Infection Control Isolation Audits
• Hand Hygiene Compliance 96 (27/28)

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Isolation

• Problem New Hospital Staff
• Interventions
• Staff Education
• New Employment
• In-services at Staff Meetings
• Competency Tests
• Patient Education
• Developing Isolation Education
• Outcomes Isolation Audit
• 40 Observations made in a 3 month period
• Gloves, gown, mask, kind of mask, equipment
  disposal, hand washing

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Isolation
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MRSA

• Problem Want a faster way to test patients for
  MRSA colonization than
  standard culture procedures
• Interventions
• Purchased the GeneXpert
• 4 chamber rapid test
• Results in 73 minutes
• ICU Staff Education
• Education on collecting samples
• Isolation of colonized patients
• Developing a MRSA policy staff guideline
• Patient Education
• Existing literature
• Spanish English version
• Outcomes
• Incidence prevalence of colonization in ICUs
• Incidence prevalence of infection in ICUs
• Incidence prevalence of decolonization by
  surgical service

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Questions?