b'Hand in Hand Together We Can Reduce Hospital Acquired Conditions (HACs)Hand in Hand, Together We Can: DevelopingYour childYour child201804RV_8383 Your childYour childYour childYour child Reduce Central Lines InfectionsReduce Urinary Tract InfectionsReduce FallsReduce Adverse Medication EffectReduce Pressure Injuries Reduce Peripheral IV Infiltrates Reduce Unplanned ExtubationsYour child should: should: should:should:should:should:should: an Education Tool to Prevent HospitalReceive a bath fromReceive a soap andAlways ask for helpHave their ID bandBe repositionedH Have the breathing neck to toe, usingwater bath daily when walking scanned before anyabout every 2 hoursinagv teh aatn i sin ntaoct tt odore tsisg-ht tube checked every a special soap ormedication is given or with touch times,couple of hours by wipes called Chlor- Be wiped down withWear non-skidto reduce pressureHave the IV flushrye d1 2the nurse and respira-Acquired Conditions (HAC) hexidine (CHG), if CHG wipes once a socks when walking Tell your nurse:injuries yat least onecne n eovt a ifnt erse tory therapistethey are two monthsshift around the room Complete & detailedHave their skinhnou rby m hrdei canatdion u Have your nurse of age or older Keep the bed/cribinformation on allchecked minimal a s ewfoe present at the bedside evderHave the Foley bag Be wiped down withbelow the level ofside rails up whilemedications yourevery 12 hours for red-for all procedures to their dressing onceurine flow so e thel eIV a ti nasllll inierttioens tube in placeCHG wipes aroundthe bladder to helpin bed/cribchild takes at homeness and or bruising Hav voiks ifbor swet r m keep the breathing it elo g, every 24 hours Keep the bed in itsIf you see any In 2018, Nicklaus Childrens Hospitals Hospital Acquired Tell your nurse:lowest position,changes in your childApply protectivepeadinn easts t,h oeritnos feerteilo fno rTell your nurse:barrier cream to all with brakes on atafter they receive adiapered patientssiteIf the dressing isall times medication, such aswith every diaperIf you notice the tape wet, loose, dirty, orredness, swelling, orchange to preventsecuring the breathing Condition (HAC) Prevention team identified a need topeeling off itchiness breakdown tube is loose or wetengage patients and families on prevention of HAC .5 Moments for Hand1. Before Touching A Patient2. Before Clean/Aseptic Procedure 3. After Body Fluid Exposure Risk 4. After Touching A Patient5. AfterPatient Touching CleanHygieneThey recognized that although various educational Your HandsSurroundingsIf you have any additional questions or concerns, please contact:If you have any concerns about your childs current health status that may be worsening and need immediate medical intervention, please call:materials already existed, patients and families wereYour nurse: Rapid Response Team (RRT): Extension 811Your charge nurse:often distracted or overwhelmed with the stress of(C) Nicklaus Childrens Hospital 2018 201711MW_7429hospitalization and the volume of information givenactivities of patient care .Together, the FAC and HAC team to them during their stay . Education needed to befinalized the Hand in Hand, Together We Can Reduce simplified, streamlined, and easily available for themHospital Acquired Conditions tool . The tool was presented to review on a regular basis . The HAC team already metas an educational flyer and outlined seven key preventable monthly with Clinical Specialists throughout the hospital,HAC occurrences, including central line infections (CLABSI), the Infection Prevention team, and members of the Riskcatheter associated urinary tract infections (CAUTI), falls, Management department . Through interprofessionaladverse medication effects, pressure injuries, IV infiltrates, collaboration during these meetings, the HAC teamand unplanned extubations . Alongside each HAC listed, developed a plan to engage patients and familiesthe color-coded, easy to read tool outlined simple ways with their nurses and healthcare providers through anthat patients and families could participate in prevention . innovative educational tool. After developing a first draftHand hygiene guidelines were also given . The laminated of the tool, the HAC team met with the hospitals Familyeducational flyers were then placed in a prominent area Advisory Council (FAC) to edit and streamline the toolin each patients room . Flyers were created in both English to be engaging and family friendly . The FAC at Nicklausand Spanish to meet the needs of the hospitals diverse Childrens Hospital meets on a monthly basis to identifypatient population . Nurses were educated and instructed and address a wide range of issues .The perspectives ofon the use of the flyer as a way to engage patients and parents, guardians and family members are consideredfamilies in HAC prevention . After implementation, follow and discussed at length . The standing agendaup audits were conducted by unit leadership and peer contains informational components and participationreview to determine the effectiveness and sustainability of key hospital leaders, listening and reacting toof the initiative . In addition, the HAC team added a page recommendations from council members . The councilto the employee intranet portal outlining HAC prevention has driven the development and implementation ofstrategies and hospital policies and procedures already in diverse projects, activities and initiatives which supportplace to strengthen HAC prevention . The HAC team also enhancing services for patients and families . With theirbegan to produce monthly HAC prevention newsletters encouragement and support, parents and guardianswhich were emailed to all nursing staff. The Hand in Hand also regularly participate in patient-team conferencestool proved to be a huge success . Both patients, families, to clarify clinical issues and treatment plans . Theseand staff reported positive feedback from the use of the conferences may be initiated at any time by parents/ new tool .The creation and implementation of the tool guardians or by attending physicians in order to clarifywere also presented as a poster during the Childrens a wide variety of issues .This process is an extensionHospitals Solutions for Patient Safety poster session where of the family participation in hospital rounds and dailyit received the Poster Session Peoples Choice Award .28 Nicklaus Childrens Hospital'