Collaboration for Quality
Perioperative Nursing Care
Ms Mabel Hazelman Taoi and Ms Sally Sutherland-Fraser
with Ms Menna Davies
18th SPNF Honiara, Solomon Islands,
31st Oct to 4th Nov 2016
What our collaboration set
out to achieve
Aim:
Improve infection prevention
practices and standards in the
perioperative setting
Outcome:
Implementation of the Pacific
Perioperative Practice Bundle - PPPB
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What our collaboration set
out to achieve
STAGE 1: Development (Oct to Dec 2015)
•
•
identify the project team
develop the standards; and
• reach consensus
Pacific Perioperative Practice Bundle – PPPB
STAGE 2: Implementation (Aug 2016 - ongoing)
•
Deliver education on the standards and PPPB;
• audit clinical practice; and
• measure
outcomes
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The project team from 14 PICs
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Who collaborated and where
the support came from
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Stage 1. Developing the standards
and reaching consensus
1st cycle
2nd cycle
• 1st draft standards
• matching feedback
tools x 6
• discussion & review 14 days
at EPPIC meeting
in Fiji
• team videoconference calls
Sydney/Suva
3rd cycle
Approval
• 2nd draft
standards
• draft audit tool x
1 for review
• 5 remaining audit
tools prepared
• matching
feedback tools
x6
• draft audit
instructions
• final care
bundle
prepared
• feedback
collected by
email
• discussion &
review by
individual PICs
October to December 2015
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• 6 practice
standards
• 6 audit tools
What our collaboration produced
Practice
Standard
PPPB
‘Bundle’ of 6
Standards
for perioperative
nurses in PICs
PPPB
Practice Audit
Tools
Practice Audit
Instructions
Pacific Perioperative Practice Bundle - PPPB
PPPB 1
Hand hygiene
PPPB 2
Perioperative attire
PPPB 3
Aseptic technique
PPPB 4
Protective apparel
PPPB 5
Scrubbing, gowning & gloving
PPPB 6
Skin preparation & draping
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Pacific Perioperative Practice Bundle - PPPB
PPPB 1
Hand hygiene
PPPB 2
Perioperative attire
PPPB 3
Aseptic technique
PPPB 4
Protective apparel
PPPB 5
Scrubbing, gowning & gloving
PPPB 6
Skin preparation & draping
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Stage 2. Implementation
Workshop August 2016, Suva FIJI
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Stage 2. Implementation
Workshop August 2016, Suva FIJI
The objectives of the workshop were to
1.REVIEW the background to the Bundle
2.EXPLORE the rationales and principles underpinning the standards
3.CONSIDER the practicalities of conducting practice audits in a diverse
range of busy clinical settings;
4. IDENTIFY implementation strategies to support the transition from
“Knowledge to Action”
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http://ktclearinghouse.ca
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Stage 2. Implementation
Workshop August 2016, Suva FIJI
Country
Participant
Country
Participant
Cook Is
Rouruina Taraare
Tonga
Talesia Vakata
FSM Pohnpei
Mihra Allen
Tuvalu
Teveve Mataika
Kiribati
Teiraoi Bio
Vanuatu
Lina Virameme
RMI
Kenye Mike
Fiji CWMH
Sereana Nakava
Nauru
Myann Capelle
Fiji CWMH
Asinate Natini
Niue
Juvena Siatoga
Fiji Labasa
Vane Matakece
Palau
Jocelyne L Tonyokwe
Fiji Lautoka
Mere Toroca
Samoa
Natasha Mamea
Fiji Lautoka
Ana Qerewaqa
Tokelau
Pepetua Leo
Fiji CMNHS
Latileta Matatini
Solomon Is
Nerrie Raddie
Kiribati
Tamatoo Utimawa
Christmas Is
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Stage 2. Implementation
Workshop August 2016, Suva FIJI
Country
Participant
Country
Participant
Cook Is
Rouruina Taraare
Tonga
Talesia Vakata
FSM Pohnpei
Mihra Allen
Tuvalu
Teveve Mataika
Kiribati
Teiraoi Bio
Vanuatu
Lina Virameme
RMI
Kenye Mike
Fiji CWMH
Sereana Nakava
Nauru
Myann Capelle
Fiji CWMH
Asinate Natini
Niue
Juvena Siatoga
Fiji Labasa
Vane Matakece
Palau
Jocelyne L Tonyokwe
Fiji Lautoka
Mere Toroca
Samoa
Natasha Mamea
Fiji Lautoka
Ana Qerewaqa
Tokelau
Pepetua Leo
Fiji CMNHS
Latileta Matatini
Solomon Is
Nerrie Raddie
Kiribati
Tamatoo Utimawa
Christmas Is
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What our collaboration achieved
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Common themes and outcomes
•
Dissemination and education
•
Mandatory for all OT staff to read & sign
off on the PPPBs
•
Monthly ordering of alcohol hand rubs
•
Ordering of protective eye wear and
appropriate foot wear for OT staff
•
OT scrubs laundered on the premises
•
Practice audit programs underway
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Common themes and outcomes
“…we are all planning to
strengthen, uphold and
maintain the PPPB and the
Audit Tools.
I wish every one well in
continuing to SHINE the
Periop Torch……..
MAKE A DIFFERENCE!”
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Future opportunities
•
Follow up workshop in 1 year
•
1 year complimentary ACORN
membership when buying the
14th ed ACORN Standards 2016
•
Nurses presenting their
progress at the SPNF in 2018
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Working towards our common goal of
quality health care for surgical patients
References available
on request
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Tagio Tumas
Contacts details for further information
•
Ms Mabel Hazelman Taoi
Project Coordinator
Strengthening Specialised Clinical Services in the Pacific (SSCSiP)
Suva, Fiji
W http://sscsip.org/
E
[email protected]
•
Ms Sally Sutherland-Fraser and Ms Menna Davies
Directors and Education Consultants
Health Education & Learning Partnerships
Sydney, Australia
W www.healtheducationaustralia.com.au
E [email protected]
E [email protected]
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