630 A Multidisciplinary Approach to Decrease Infection using Visual Management

Abstract

Abstract Introduction Burn patients are at high risk for infection secondary to skin loss from their wounds. These infections come at great risk for patient safety and are known to increase length of stay, morbidity, and mortality. Due to these factors, we used a multidisciplinary approach to maintain the environment in our Regional Burn Center using visual management. The purpose of this project is to improve communication and follow-through between the Environmental Services Team (EVS), Facilities Management department and the Burn Center Team to initiate and complete repair work and improve cleanliness in patient rooms. The goal is to decrease risk for infection from environmental factors through collaboration with multiple departments and improve patient experience and care. Methods Each room in the Burn Center is mapped out on the Visual Management Board (VMB). Anytime a staff member notices that EVS and/or Facilities Management repair work is needed, they can take the appropriate magnet from the board (see legend) and place it on that room square. Unit leadership will round each morning to see what needs are indicated on the board and initiate work orders or communication with designated unit EVS to meet that need. The issues indicated by the magnets will be logged into a printed spreadsheet (placed on VMB). Each day unit leadership will round to facilitate completion of needed work and will place a date of completion on the spreadsheet when that work is finished as well as remove the magnet from the rooms space. Every Monday, Unit leadership will round at the VMB with EVS and Facilities Management Leadership to address any further needs that were unable to be completed at the unit level that need escalated. EVS/Facilities Management will round back with unit leadership when these items are completed. Key Stakeholders 4. Environmental Services Staff (housekeeping) and Leadership 5. Facilities Management (carpentry) Staff and Leadership 6. Burn Unit Staff and Leadership Additional Resources • Legend for needed work • Communication Tracking Tool • Picture of VMB workspace for this project Results Maintenance and daily cleaning improved. Increased staff engagement in facilities issues in each patient room and the autonomy to notify someone and get escalation of issues when needed. Improved communication and collaboration with multidisciplinary teams for increased awareness of unit-based needs and improved patient safety. Conclusions Upon completion of this presentation, learners will be prepared to discuss multidisciplinary ways to collaborate with the partners that support your Burn Center to enforce patient care and safety.