INFECTION PREVENTION AND CONTROL

1 ANNUAL REPORT Prepared by: Provincial Health Services Authority INFECTION PREVENTION & CONTROL August 2016 April 2015 March 2016 INFECTION PREVENTION AND CONTROL 0 | Page Table of Contents Table of Contents .. 1 Executive Summary .. 2 PHSA INFECTION PREVENTION and CONTROL Program .. 3 Knowledge Translation .. 7 Hand Hygiene Program .. 11 Cleaning, Disinfection and Sterilization .. 12 Construction Consultation .. 14 Surveillance .. 15 Outbreak 21 Projects and Initiatives .. 22 Future Directions .. 24 Appendix A PHSA IPAC Organizational Chart.

2 26 Appendix B Definitions .. 27 1 | Page Executive Summary At the Provincial Health Services Authority (PHSA), the safety of patients, staff and visitors is of ultimate importance. To help meet this commitment, a PHSA INFECTION PREVENTION and CONTROL (IPAC) Service was formed in 2006, reporting to the PHSA VP of Quality and Safety. The IPAC team works collaboratively with other groups within PHSA, other health authorities, the Provincial INFECTION CONTROL Network of BC (PICNet), and regional and national public health services in supporting best practices to prevent and CONTROL infections at PHSA facilities. The IPAC team is involved in a variety of activities that include: Knowledge translation (education and research) Hand hygiene program Surveillance Outbreak management Construction consultation Cleaning, disinfection and sterilization Policy and procedure development During 2015-16, the IPAC team participated in additional projects and initiatives such as.

3 Conducting a PHSA-wide survey on staff perceptions of the IPAC Service Implementation of the UV-C disinfection machine at BC Children s Hospital Development of a new C-section surveillance system at BC Women s Hospital + Health Centre The following table highlights trends in HAI rates for 2015-16: Indicator 2014-15 Rate 2015-16 Rate PHSA Overall Hand Hygiene Compliance 90% 92% PHSA HA-CDI Rate per 10,000 inpatient days per 10,000 inpatient days PHSA HA-MRSA Rate per 10,000 inpatient days per 10,000 inpatient days PHSA HA-VRE Rate per 10,000 inpatient days per 10,000 inpatient days CRBSI Rate in PICU per 1,000 catheter days per 1,000 catheter days CRBSI Rate in NICU per 1,000 catheter days per 1,000 catheter days *NOTE: None of the above rate changes are statistically significant.

4 2 | Page PHSA INFECTION PREVENTION and CONTROL Program Our vision: Empowering everyone to prevent infections . These words paint a picture of the world the INFECTION PREVENTION and CONTROL (IPAC) Service seeks to create. Our vision captures the notion that each person in the healthcare team has a role to play in the PREVENTION of infections . Our goal is to ensure that everyone has the knowledge and confidence to participate in INFECTION PREVENTION . Our mission: Our mission is to ensure the protection of patients, staff and visitors from preventable infections . We aim to achieve this through: A proactive approach to current and evolving challenges Facilitating implementations and solutions Expert consultation based on applicable regulations, evidence and best practice Collaborating with local, provincial, and national partners Our services.

5 Knowledge Translation Hand Hygiene Program Surveillance Outbreak Management Construction Consultation Cleaning, Disinfection and Sterilization Projects and Initiatives Policies and procedures 3 | Page PHSA INFECTION PREVENTION and CONTROL Team 2015-16 Georgene Mille r, RN, MSN Vice President Quality Safety and Outcome Improvement Jocelyn Srigley, MD, FRCPC Corporate Director, PHSA IPAC Medical Microbiologist Ghada Al-Rawahi, MD, FRCPC IPAC Medical Lead, BCCA Medical Microbiologist Simon Dobson, MD, FRCPC INFECTION CONTROL Officer Infectious Diseases Specialist Peter Tilley, MD, FRCPC INFECTION CONTROL Officer Medical Microbiologist David Goldfarb, MD, FRCPC INFECTION CONTROL Officer Medical Microbiologist Robyn Hunter, RN, CIC PHSA IPAC Coordinator Stacie Buttar, HR IPAC Administrative Assistant Jun Chen Colle t, BMed, MSc IPAC Epidemiologist Viola Tang, RN IPAC Reprocessing Manager Sarah Wells, BHSc, CIC IPAC Construction Specialist Louise Holmes, RN, BSN Clinical Project Lead Redevelopment Marney Hunt, RN, BSN INFECTION CONTROL Practiti oner, BCCH & BCWH Charina Rivas, RN, BSN INFECTION CONTROL Practitioner, BCCH & BCWH Michelle Chang, RN.

6 MPH INFECTION CONTROL Practitioner, BCCH &BCWH Julita Sienkiewicz, RN, BSN INFECTION CONTROL Practitioner, BCCH & BCWH Alison Chant, RN, CIC INFECTION CONTROL Practiti oner, BCCA Kimberly Mallory, RN, CIC INFECTION CONTROL Practiti oner, BCCA Sheetal Kainth, RN INFECTION CONTROL Practiti oner, BCCA Kristie Harding, RN INFECTION CONTROL Practiti oner, BCCA Judy Tearoe, RN INFECTION CONTROL Practiti oner, BCCA Adriana Mendes, RN, CIC INFECTION CONTROL Practiti oner, BCCA May Tang, RN INFECTION CONTROL Practiti oner, BCCA KaWai Leung, RN, MPH INFECTION CONTROL Practiti oner, BCCA Ron Morley, RPN, ADPN INFECTION CONTROL Practiti oner, Forensics Lisa Young, RN, BA(Hons) Leader, IPAC, BCEHS Carmen Saucier Hand Hygiene Auditor, Co-op Student Rishi Chatterjee Hand Hygiene Auditor, Co-op Student Cherrie Lo Hand Hygiene Auditor, Co-op Student Sanjam Jhawar Hand Hygiene Auditor, Co-op Student 4 | Page Our Facilities: BC Centre for Disease CONTROL : New Westminster and Vancouver Clinics Annual outpatient visits TB Clinic: 20,568 Annual outpatient visits STD Clinic: 18,277 BC Children s Hospital Acute care beds: 102 Annual admissions: 6,587 Annual outpatient visits.

7 130,578 BC Child and Youth Mental Health Acute care beds: 40 Annual admissions: 395 Annual outpatient visits: 17,103 Sunny Hill Health Centre for Children Acute care beds: 14 Annual admissions: 134 Annual outpatient visits: 10,929 BC Women s Hospital Acute care beds: 130 Annual admissions: 16,177 Annual outpatient visits: 60,373 4 | Page BC Cancer Agency Vancouver Centre* Acute care beds: 26 Annual admissions: 729 Annual outpatient visits: 126,558 BC Cancer Agency Vancouver Island Centre* Acute care beds: N/A Annual admissions: N/A Annual outpatient visits: 69,789 BC Cancer Agency Abbotsford Centre* Acute care beds: N/A Annual admissions: N/A Annual outpatient visits: 43,171 BC Cancer Agency Centre of the Southern Interior* Acute care beds: N/A Annual admissions: N/A Annual outpatient visits: 50,923 BC Cancer Agency Centre of the North* Acute care beds: N/A Annual admissions: N/A Annual outpatient visits: 18,195 BC Cancer Agency Fraser Valley Centre* Acute care beds: N/A Annual admissions: N/A Annual outpatient visits: 61,146 5 | Page BC Forensic Psychiatric Hospital Acute care beds: 190 Annual admissions.

8 283 Annual outpatient visits: 2,590 BC Emergency Health Services (A division supported by PHSA) # Ambulances dispatched: 545,000 # Air ambulance annual calls: 6,700 N/A indicates that this activity is not applicable. *The outpatient visits for BCCA are the sum of the radiation therapy visits, systemic therapy visits and chemotherapy visits. Source: Data provided by PHSA Performance Measu rement and Reporting Group. 6 | Page Knowledge Translation Staff, Volunteer, Patient, Family, and Visitor Education Education is an essential component of IPAC. The IPAC team delivers education sessions to all new employees during orientation and provides ongoing education to all PHSA staff.

9 During 2015-16, IPAC provided 9,090 hours of educational sessions for 2,118 staff. In addition to didactic sessions, the INFECTION CONTROL practitioners (ICPs) address patient-, procedure-, or unit-specific concerns on a daily basis through phone consultation and ward visits. International INFECTION CONTROL Week (October 19-23, 2015) was another opportunity to provide education to staff, as well as volunteers, patients, families and visitors. Daily newsletters were sent to all staff on topics that included methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C. difficile) INFECTION , influenza, and shingles (herpes zoster).

10 The IPAC team is continually developing, assessing and revising education material and strategies to meet learning needs. The BC INFECTION CONTROL and Hand Hygiene course, Hand Hygiene for Medical Staff, and Provincial Hand Hygiene Basics are available online for all staff through the Learning Hub ( ). Information sheets on IPAC topics are available for staff, patients, families, and visitors through the PHSA Libraries ( ). 7 | Page Continuing Education for the IPAC Team IPAC leadership encourages self-led knowledge enhancement and development to ensure that all team members remain up to date with IPAC best practices.