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The Development _ management of a Waste Management for St

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									                         St John’s Community Hospital
                               Administration of IV Antibiotics




Administration of Intravenous Antibiotics
                    in
   St. John’s Community Hospital


                Melissa Kelly A/CNM II
                                  St John’s Community Hospital
                                         Administration of IV Antibiotics




   How did the initiative come about?

• Previously administered in acute hospital settings
• Trend now to deliver in home or Community Hospitals
• Result of “Out Patient Parentral Antimicrobial Therapy
  Clinical Care Programme”
• No patient receiving IV AB who can be treated out of
  hospital to remain as an inpatient
• Pilot programme for administration of IV AB in the
  community
                                              St John’s Community Hospital
                                                       Administration of IV Antibiotics



              How Pilot was Introduced
• Introduced as part of Joint Implementation Group across
  the Acute and PCCC Services
• Meetings held with:
    –   Discharge Liaison and Senior Project Officer
    –   Medical Consultants
    –   Director of Nursing
    –   Service Manager for Older People
    –   Director of Nurse Education
•   Clinical pathway introduced
•   Development of a policy
•   Staff education
•   Sourcing of equipment
•   Follow-up meetings – pilot date determined
                                                          St John’s Community Hospital
                                                                 Administration of IV Antibiotics




                         Pilot Programme
                                      Pilot started July 2011
                                            – Nov 2011

                                                                        Six patients treated
                                                                             within pilot

No delay in activation
    of treatment

                                                                        29 Acute bed days
                                            Pilot                            saved

Reduction in transport                                              Positive Service User
        costs                                                   experience – “only for I could
                                                                get IV AB in St. John’s, I’d be
                                                                dead” – B Anderson 20/11/11

                         Positive Staff
                          experience
                                        St John’s Community Hospital
                                               Administration of IV Antibiotics



                  Acknowledgements
•   Acting Director of Nursing, St. John’s Community Hospital
•   Clinical Director
•   Doctors Paula Hickey, John Doherty and their medical teams
•   Dr. Sadiq, Medical Officer St. John’s Community Hospital
•   Frank Morrison, Acting Service Manager for Older People PCCC
•   Sligo General Hospital
•   Our Lady’s Hospital, Manorhamilton
•   Mary Quinn, Discharge Liaison Officer
•   Senior Projects Officer, Sligo General Hospital
•   Director of Nurse Education
•   Maureen Scanlon, IV Training Coordinator
     Special thanks to the patients and their
                     relatives!
                     St John’s Community Hospital
                             Administration of IV Antibiotics




Thank You for Listening

    Melissa Kelly A/CNM II

 St John’s Community Hospital

             Sligo

								
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