reducing neonatal catheter-associated bloodstream infection
DESCRIPTION
Reducing Neonatal Catheter-Associated Bloodstream Infection. Yevgeniy (Eugene) Statnikov, Data Manager Neonatal Data Analysis Unit (NDAU) . Outline. The system Types of data captured Recording requirements Catheter associated bloodstream infection extra. The system . Neonatal.Net - PowerPoint PPT PresentationTRANSCRIPT
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Reducing Neonatal Catheter-Associated Bloodstream Infection
Yevgeniy (Eugene) Statnikov, Data ManagerNeonatal Data Analysis Unit (NDAU)
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Outline
• The system
• Types of data captured
• Recording requirements
• Catheter associated bloodstream infectionextra
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The system
• Neonatal.Net
• Centralised information
• Used by over 160 neonatal units extra
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Types of data captured
• Static: recorded only once– eg birthweight
• Daily: recorded every day– eg line in situ today
• Episodic: recorded as required – eg date culture taken
Neonatal.Net
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Data requirements
SOME BABIES• Cultures taken with clinical signs, recorded at the
time NOT retrospectively• Culture results: including “no growth”
ALL BABIES• Risk factors • Static: birthweight, gestational age, gender• Daily: parenteral nutrition, type of milk feed, vascular
lines in situ
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Data requirements
FOUR STEP PROCESS:1) ONCE ONLY(ALL BABIES): Ensure static items
are recorded (gestational age, birthweight, gender)
2) DAILY(ALL BABIES): Ensure daily items are recorded every day (presence of umbilical arterial catheter and central venous lines, parenteral nutrition, milk feeds)
3) EPISODIC (BABIES THAT HAVE A BLOOD CULTURE TAKEN): Record blood culture information
4) EPISODIC (BABIES THAT HAVE A BLOOD CULTURE TAKEN): Record microbiological results
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Recording requirements: Log-in• https://nww.neonatal.nhs.uk/
Click on ‘select existing or admit new baby’
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Recording requirements: Log-in• https://nww.neonatal.nhs.uk/
Enter ‘UK User authentication...’ details issued by your unit
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Recording requirements: Static items (ALL BABIES)• Select baby (use Name or NHS Number)
Search for existing baby using Surname, Forename or NHS Number
Or select baby from list of patients
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Recording requirements: Daily items (ALL BABIES) • Switch to daily-details form (to record umbilical and central venous catheters, parenteral nutrition, milk feeds)
On the Patient home page, under Things to do..., click on Day-details form for DD-Month-YY
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Recording tequirements: Daily items• Enter catheter information in line in situ today, milk feeds and parenteral nutrition, and save (must be recorded daily for ALL BABIES) Scroll down the Extended daily
summary (Daily-form) filling out all details including Lines (click on relevant listed option) and Fluids and feeding (tick boxes and click on relevant listed option) Click on Save and
Close to exit
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Recording requirements: Episodic items• Select the ad hoc events form: Infection (bloodcsf cultures)
On the Patient home page, under Ad-Hoc Event Forms, click on Infection (bloodcsf cultures)
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Episodic Items: ALL BABIES THAT HAVE BLOOD CULTURES TAKEN• Enter: Date/Time, Sample Type and Signs present
when culture obtained (DO NOT ENTER RETROSPECTIVELY)
Inside the Infection form enter Sample taken (date and time), select Sample type and from drop-down menu select Signs present when culture obtained
Click on Save and Close to exit
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Episodic items: Culture results
• Microbiology reports return with results of blood test
• Follow the log-in steps and patient search steps outlined previously
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Episodic items: Culture results• Enter the results of microbiology report on the patient
data page
Change page by clicking on patient data tab
Find previously entered sample details inside Daily data
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Episodic items: Culture results• In Days during stay box click on the day on which
culture sample was taken
Click on Day of sample draw
Double click on the displayed Infection information to open the Infection form
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Episodic items: Culture results• Click to select pathogens…
Click on Pathogens to record the results of the microbiology report
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Episodic items: Culture results• Enter results including “no growth”
Select pathogen from common list or type pathogen name to locate others
Confirm your record
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Episodic items: Culture results• Save Infection form
Click on Save and Close
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Summary
• FOUR STEP PROCESS:1. ONCE ONLY(ALL BABIES): Ensure static items are
recorded (gestational age, birthweight, gender)
2. BABIES): Ensure daily items are recorded every day (presence of umbilical arterial catheter and central venous lines, parenteral nutrition, milk feeds)
3. EPISODIC (BABIES THAT HAVE A BLOOD CULTURE TAKEN): Record blood culture information
4. EPISODIC (BABIES THAT HAVE A BLOOD CULTURE
TAKEN): Record microbiological results
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Summary
• Static and daily items are required for all babies• Episodic items are required for babies having a blood
culture taken• Analysis requires complete data entry • Positive AND negative blood culture results must be
entered• Data must be NOT be entered retrospectively