Protecting Our Tiniest Patients
Nan Maddox, RN, BS, CIC
Wellstar Kennestone Hospital
Over the past few years, Nan Maddox, RN, BS, CIC, an infection preventionist with Wellstar Kennestone Hospital in Marrietta, Georgia, has played an invaluable role in the inception, design, completion and integration of two baby bundles designed to prevent infections and death among her hospital’s tiniest patients – preemies in the neonatal intensive care unit.
The ventilator-associated pneumonia (VAP) bundle was implemented in March 2008. Since then, the 20-bed NICU has not experienced VAP in its tiny patients. Having worked in adult bundles for many years, “I looked at which of these recommendations and best practices could apply at the NICU level,” she said.
She brought together staff to create a NICU VAP team. After her literature reviews turned up limited information, the nursing and respiratory team began assembling best practices to be included in its “baby bundle,” and invited a sister hospital in the Wellstar Healthcare System to join them. This collaborative team met with neonatologists and administrative leaders to introduce them to the new bundle. “They were very enthusiastic to be part of it,” Maddox said.
After months of planning and education, the new VAP baby bundle was rolled out.
In April 2008, she created a second collaborative team to work on a central line bundle, implemented six months later. We are not at zero yet; but, we’re able to demonstrate 100 percent bundle compliance, indicating that the right things are being done. She said prevention of these serious infections is potentially life changing for the families in terms of saving babies’ lives.