Infection Control

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Infection Control activities are performed to reduce the risk of infections to our patients, visitors, and employees.  At this time statewide and national comparative data is not yet available.  Indicators identified by St. Mary's Regional Medical Center allow us to monitor our performance, and make adjustments to the care that we deliver, and reduce the risk of infection to our customers.  We follow the CDC (Centers of Disease Control) and MCDC (Maine Centers for Disease Control) guidelines for the prevention, identification, and public reporting of infections.

Better than or equal to US avarage

Near US average (within 10 points)

Worse than US average (grater than 10 points)

N/A-no comparative data

Infection Control (Please pause over an indicator for details)
	Indicator	Maine Average Apr 2013***	US Average Apr 2013***	St. Mary's  Oct-Dec 2012
Central Line Rate Catheter	Central Line Infection Rate	1.24	1	0 - no infections *
ICU Central Line Bundle	Compliance with Central Line Bundle Indicators in ICU	N/A	N/A	100% of cases **
Perioperative Central Line Bundle	Compliance with Central Line Bundle Indicators in Perioperative Areas	N/A	N/A	N/A - 0 patients **
ICU Ventilator Bundle	Compliance with Ventilator Bundle	N/A*	N/A	100% of 17 cases  **

  * Rate is per 1,000 device days
** Rate is per 1,000 patient days

Central Line Infection
Catheter-related bloodstream infections occur in a patient with an central line (IV line that goes into a major blood vessel) and who has at least one positive blood culture obtained from a peripheral vein, symptoms of infection (i.e., fever, chills, and/or low blood pressure), and no apparent reason for the infection except the catheter. Bloodstream infections are considered to be associated with a central line if the line was used during the 48-hour period before the bloodstream infection began.

ICU Central Line Bundle
Compliance of Central Line Bundle in ICU - We measure five evidence based interventions for the prevention of central line associated blood stream infections in ICUs and mixed acuity units that are referred to as the ICU Central Line Bundle.  These elements include:

• Hand hygiene
• Maximal barrier precautions upon insertion
• Chlorhexidine skin antisepsis
• Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters in patients 18 years and older (deviations should be based on a clinical determination and not as a matter of convenience.)
• Daily review of line necessity with prompt removal of unnecessary lines
   

Perioperative Central Line Bundle
Compliance of Perioperative Central Line Bundle - We measure four evidence based interventions for the prevention of central line associated blood stream infections perioperatively that are referred to as the Perioperative Central Line Bundle.  These elements include:

 

• Hand hygiene
• Maximal barrier precautions upon insertion
• Chlorhexidine skin antisepsis
• Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters in patients 18 years and older (deviations should be based on a clinical determination and not as a matter of convenience.)
  
  

ICU Ventilator Bundle 
Compliance of Ventilator Bundle - We measure the percent of compliance with four evidence based interventions for patients with mechanical ventilation in our Intensive Care Unit that are referred to ICU Ventilator Bundle.   These elements inculde:

 

• Head of the bed elevation 30 degrees or greater
• Daily “sedative interruption” and daily assessment of readiness to extubate
• PUD (pepic ulcer disease) prohylaxis
• DVT (deep venous thrombosis) prophylaxis