Covenant Health is an innovative, Catholic regional delivery network and a leader in values based, not-for-profit health and elder care. We sponsor hospitals, nursing homes, assisted living residences and other health and elder care organizations throughout New England.
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Infection Control

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 average 
Near US 
average 
(within 10 
points) 
Worse than US 
average (greater 
than 10 points) 
 N/A - no 
comparative 
data 
Infection Control
(Please pause over an indicator for details)
  Indicator US
Average
Oct 2013**
Maine
Average 
Oct 2013**
St. Mary's 
Apr-Jun 
2013
Central Line Rate 
Catheter
Central Line Infection Rate 0.949 1 N/A - 0 
patients**
ICU Central Line 
Bundle
Compliance with Central Line 
Bundle Indicators in ICU
N/A N/A 100% of 
9 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
12 cases **

* Rate is per 1,000 device days
** Rate is per 1,000 patient days
*** This comparative data was collected Oct 2011 to Sept 2012.

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
St. Mary's Health System • 93 Campus Avenue • Lewiston, ME 04240