Just Culture is More Than Just Talk How

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Just Culture is More Than Just Talk- How CUSP Culture and Teamwork Led to

Just Culture is More Than Just Talk- How CUSP Culture and Teamwork Led to ZERO CLABSI Infections

Peterson Regional Medical Center Kerrville, Texas � 125 bed rural community independent not-for-profit hospital

Peterson Regional Medical Center Kerrville, Texas � 125 bed rural community independent not-for-profit hospital

Our Statistics �Zero CLABSIs in the entire hospital for 28 months! � 90% of

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

�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

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

�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

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

�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

Overcoming �Failure is not an option �Proving evidence based practice �Education is the key �I am committed �Keep your word

�Make it personal �Fix it right �Accountability �Have backup �Hardwire �Reward your staff

�Make it personal �Fix it right �Accountability �Have backup �Hardwire �Reward your staff

Wisdom to Live By �If staff believes in leadership, their resolve becomes hardened to

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 areas �Daily goals used throughout facility �Standardized line care in

How this helped other areas �Daily 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

�Increased team as well as patient satisfaction �Increased awareness of other HAI measures

Thanks Y’all Theresa Hickman, RN Nurse Educator 830 -258 -7429 thickman@petersonrmc. com Aaron Saul,

Thanks Y’all Theresa Hickman, RN Nurse Educator 830 -258 -7429 [email protected] com Aaron Saul, Jr. RN VA-BC PICC/IV Infusion Clinical Supervisor 830 -258 -7431 [email protected] com