Ms. Joann Chiong1
1Fairfield Hospital, Australia
Biography:
I am a novice IPC Nurse who started in this role in May 2020, during the height of the COVID-19 pandemic which required me to develop my IPC skills rapidly to meet the challenges posed by the pandemic.
In addition to managing COVID-19, I also need to be equipped to the role to met our NSQHS Accreditation in 2022 and Work Health and Safety Annual Audits, as I hold a dual position as Staff Health
My experiences during this critical period have given me a deep and the need for adaptable infection control strategies.
Abstract:
This project addresses the challenges of cohorting patients with MRO amid limited single rooms and increased demand due to ARI, COVID-19, and MRO. It provides guidance for risk management and transmission prevention.
The lack of guidance on managing transmission risks for patients cohorted with MROs in a 4-bedded room posed a threat to patient safety. Surveillance data analysis exposed gaps in infection control practices and a surge in MRO transmission rates. Compliance monitoring highlighted inconsistent adherence to transmission prevention measures, emphasizing the need for effective interventions.
The problem was assessed using staff input, surveillance data analysis, and compliance monitoring. Analysis from Pathnet, QIDS, and EMR data revealed rising MRO transmission rates among cohorted patients, underscoring the need for standardized recommendations and interventions.
Solutions included deploying an IPC Care Bundle for MRO cohorts, daily documentation of MRO transmission risk in EMR, signage for transmission-based precautions, PPE availability, and enhanced hand hygiene practices.
The project led to significant enhancements in infection control protocols and patient safety at Fairfield Hospital. Compliance monitoring showed a notable increase in adherence to transmission-based precautions, from minimal levels to 70%. Surveillance data indicated a decrease in MRO transmission rates among cohorted patients, evidenced by a reduction in healthcare-associated infections.
To sustain improvements, monitoring and evaluation processes have been established, including compliance monitoring and surveillance data analysis. Continuous education and training programs for staff ensure that enhanced IPC practices and patient safety standards remain prioritised and consistently maintained over time.