Authors (including presenting author) :
Lee SCP, Ngai MYL, Wong HCD, Tam OYC, Li YNM, Ko CMT, Yeung SYI, Lun PY
Affiliation :
Central Nursing Division, North District Hospital
Introduction :
The hospital acquired MDRA case (beyond 48 hours of admission) among NDH in patient ward recorded a significant peak in the first 2 quarters of 2021. The infection control enhancement program implemented in the third quarter 2021.
Objectives :
The task force focused on the specific staff groups and high risk high frequency procedures which may contribute to the MDRA outbreak. The reinforcement of the infection control standard of the caring procedures increasing the effectiveness and efficiency with a minimum resources and workload impact.
Methodology :
(1) Room bath for patients from old age home within 48 hours of admission Ward offered room bathing for the patients to reduce the bacterial load. (2) Reinforce infection control requirement to undergraduates in orientation session CND emphasized the importance of infection control, especially a good hand hygiene to all new staff in the orientation program. (3) Perform hand hygiene audit for undergraduate nurses by both CND staff and WM Ward Mangers and CND staff individually to enhance staff awareness on hand hygiene practice and engage supervisors on the infection control performance. (4) Perform Diaper Round audit for all supporting staff CND organized a refresher training on diaper change for all supporting. Ward managers and CND staff performed audit of changing diaper for all PCA. (5) CND staff daily ward round focusing on hand hygiene, infection control on wound dressing and diaper round CND focused the infection control awareness across disciplines with immediate feedback.
Result & Outcome :
The hospital acquired MDRA case number and trend of NDH would be in a decreasing trends. Staff have a higher infection control awareness whereas front line supervisors demonstrate a strong engagement in daily infection control supervision according to the standard requirement of infection control team and central nursing division. (1) The hand hygiene audit compliance in increasing trend and overall over 97% (2) Full compliance in diaper round audit (3) Significant decrease on newly diagnosed MDRA (4) Not report of MDRA clustering and outbreak in NDH
