just culture is more than just talk- how cusp culture and teamwork led to zero clabsi infections

Peterson Regional Medical CenterKerrville, Texas

125 bed rural community independent not-for-profit hospital

Our Statistics

Zero CLABSIs in the entire hospital for 28 months!

90% of all central lines are inserted by the PICC Team

Approximately 300 line days per month

60-80 CVC devices per month placed

60-90 CVC devices per month monitored

What We Learned…Communication is the grease of change

They are watching

Leadership’s commitment is the driver of change

Everyday is a learning experience

This is not an easy process

Keep it simple

Barriers to Success…

We have always…

Flavor of the month

Lack of trust

Lack of knowledge

The territorial and resistant

They come back

Behavior change

Non-clinical people

Overcoming

Failure is not an option

Proving evidence based practice

Education is the key

I am committed

Keep your word

Make it personalFix it right

Accountability

Have backup

Hardwire

Reward your staff

Wisdom to Live By

If staff believes in leadership, their resolve becomes hardened to prevent patient harm.

Conviction to not give up when things are hard. It’s the difference between success and lip service.

How this helped other areasDaily goals used throughout facility

Standardized line care in Outpatient areas

Validated other Evidence Based Practices

Increased team as well as patient satisfaction

Increased awareness of other HAI measures

Thanks Y’allTheresa Hickman, RN

Nurse Educator830-258-7429

thickman@petersonrmc.com

Aaron Saul, Jr. RN VA-BCPICC/IV Infusion Clinical Supervisor830-258-7431asaul@petersonrmc.com