Infection Prevention

The Seven Strategies of Infection Prevention

• Hand Hygiene- Infection Prevention (IP) chooses 10 mystery surveyors throughout our hospital from all departments involved with patients to observe STH staff’s hand hygiene compliance. This data is turned into IP to help target training, interventions, and feedback to areas that need improvement and most importantly help STH to reduce HAIs. The report is given at IP quarterly meeting. Hand Hygiene is also monitored daily by our Department Heads and Supervisors.
• Environmental Hygiene- Our staff at STH are trained in how to use good environmental hygiene in each department. This encompasses effective cleaning of surfaces using appropriate products and decontamination of medical equipment and devices used in patient care. The IP RN works closely with Environmental Services, Laundry, and OR to ensure that the correct products from the EPA list are being used for cleaning, decontamination, and sterilization. IP also ensures direct care staff are using the correct cleaning products and using the correct dwell times for patient care items and surfaces. This category also includes safe and appropriate handling of sharps, blood, body fluid spills, waste, and linen. IP RN works with Human Resources monitoring all staff exposures ensuring the correct post-exposure policy is followed keeping all our staff safe and healthy. IP also assists in staff education for safe handling for prevention of exposure events.
• Screening- IP RN does daily IP surveillance on patients admitted to ER, Med Surg, and ICU. History and s/s of a new infection are monitored closely. IP assures the correct isolation precautions and that PPE is being used and used correctly. IP also monitors that STH employees are using best practices in our patients' everyday care (foley cath care, central line care, wound care, etc.) IP does real-time rounding with our in-patients who have a foley, central line, and dressings for wounds or post-op procedures. All this information is tracked and reported quarterly to our IP team. Any information that needs to be reported to the local health department is done. We also report to the National Healthcare Safety Network every month. They want to know our central line and foley cath days along with wanting to be informed of any hospital-acquired or surgical site infections.
• Surveillance- IP RN chooses one department each month to do a very thorough environmental round using rounding tools from CDC and APIC. Each department is surveyed by the IP RN yearly. Surveillance is also done daily by IP while walking throughout the hospital and while doing chart review. Data found during surveillance is reported to both STH IP and Safety teams. Surveillance is also done by our Department Heads daily in their area.
• Antibiotic Stewardship- This team is chaired by our Pharmacy Director Emily Blackburn who monitors the use of antibiotics given and prescribed at STH. IP sets on this team. Antibiotic Stewardship helps improve clinical outcomes and minimize harms by improving antibiotic prescribing. This effort is to measure and improve how antibiotics are prescribed by clinicians. Our pharmacy team rounds daily with Hospitalists when seeing patients on Med Surg and ICU.
• Following Guidelines- CDC and IDPH guidelines are followed for all IP practices at STH.
• Safety Culture- Safety is very important at STH. Staff are trained upon hire and throughout the year on how to keep our employee’s, patients and visitors safe. We have a Safety Team that meets monthly and also does environmental rounding quarterly looking for any concerns of safety throughout the hospital.