News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


North Shore Hospital Sets Historic Infection Control Record

4 March 2013

North Shore Hospital Sets Historic Infection Control Record

Waitemata DHB is leading the way in a life-saving revolution that has seen it set a historic record in infection control.

The district health board’s Intensive Care & High Dependency Units (ICU/HDU) at North Shore Hospital have gone more than 400 days without a single case of the often fatal bloodstream infection known as central line associated bacteraemia (CLAB) – making it one of the largest ICU/HDU in New Zealand to achieve this significant milestone.

Central lines are catheters that go in large veins of seriously ill patients to deliver lifesaving medicines, manage fluid levels and aid blood monitoring.

But they can cause CLAB, which kills up to half the patients who develop the condition. And at Waitemata, about one patient every two months would develop CLAB.

“For a long time, CLAB was accepted as an unfortunate consequence that sometimes occurs when we do what we do,” says ICU/HDU consultant Dr Ywain Lawrey, “But hospitals overseas showed that they could cut could rates by up to 95% by strictly enforcing best practice.”

As part of a Health Quality and Safety Commission initiative, the team set to work, putting together a central line pack which included every item needed to insert a central line, from gown, hat and mask to gloves, sutures and antiseptics.

The ICU/HDU team also developed checklists for putting in and maintaining central lines, ensuring that the new protocol was strictly adhered to.

Waitemata DHB CEO Dr Dale Bramley says while a lot of work has gone into this, the result could not have been possible without the support from all staff.

“It’s been a real team effort, involving everyone from those who insert the lines in the theatre procedure room to those who maintain them in the wards. The infection control team have also played a key part in helping us achieve this milestone.”

The ICU/HDU is not alone in its success. Wards 4 and 8 at North Shore Hospital are also setting their own records, going more than 240 and 270 days CLAB-free respectively.

The central line pack has also been adopted as the national standard for all ICUs in New Zealand.

Dr Bramley says the work that has gone into minimising the risk of CLAB is part of the organisational promise of Best Care for Everyone.

“Ultimately this is about saving lives – if we can prevent just one case of CLAB, it would still have been absolutely worthwhile.”


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Scoop Review Of Books: Before The Quakes

Remembering Christchurch: Voices from decades past: The Christchurch I lived in for my first 23 years was where four-year-olds walked alone to kindergarten, crossing roads empty of all but a couple of cars per hour. My primary school, Ilam, was newly built on a grassy paddock surrounded by rural land... More>>

6-11 October: New Zealand Improvisation Festival Hits Wellington

Wellingtonians will have a wide selection of improv to feast on with a jam packed programme containing 22 shows, three companies from Australia, two companies from Auckland, one from Nelson, one from Christchurch and seven from Wellington. More>>


Bird Of The Year: New Zealanders Asked To Vote For Their Favourite Native Bird

Te Radar, David Farrier, Heather du-Plessis Allan and Duncan Garner are just some of the New Zealanders championing their favourite native bird in Forest & Bird’s annual Bird of the Year competition, which kicks off today.. More>>


Werewolf Film: It Follows - Panic In Detroit

Philip Matthews: When you heard last month that Wes Craven had died and you wanted to pay homage, you could have sat down with any one of five of his films that helped reinvent American horror at least three times over three decades... Or you could just have watched one of the greatest recent horror films that would probably not exist without Craven. More>>


Werewolf Music: Searching For The White Wail - On Art Pepper, etc

If the word ‘hipster’ means anything – which it arguably doesn’t – it seems to be more of an impulse than a condition. One always headed for the margins, and away from the white-bred, white-bread mainstream... More>>


Scoop Review Of Books: Leonardo da Vinci - The Graphic Work

The breadth of da Vinci’s work is incredible: from animals to weaponry, architecture to fabric, maps to botany. The works have been divided into themes such as Proportion Drawings, Anatomical Drawings and Drawings of Maps and Plans. Each section begins with a short essay. More>>

Scoop Review Of Books: James Hector: Explorer, Scientist, Leader

Publication of this comprehensive 274-page account of the life and work of James Hector by the Geoscience Society of New Zealand marks the 150th anniversary of James Hector’s appointment as New Zealand’s first government scientist. More>>

Get More From Scoop



Search Scoop  
Powered by Vodafone
NZ independent news