DJ Shannon MPH CIC Eskenazi Health Jaime Redkey MS CIC Riley hospital for children Objectives Review data about the diverse Infection Prevention workforce Understand the benefits of having a diverse Infection Prevention workforce ID: 783252
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Slide1
Infection Prevention: Collaboration is the key to success
DJ Shannon, MPH, CIC,
Eskenazi
Health
Jaime
Redkey
, MS, CIC, Riley hospital for children
Slide2ObjectivesReview data about the diverse Infection Prevention workforce
Understand the benefits of having a diverse Infection Prevention workforce
Describe the strengths and weaknesses of each educational background
Improve patient safety through enhanced collaboration
Slide3Before we dive in…
Slide4What we aren’t going to do
Whine
Complain
Blame
Beat each other up
Slide5Jaime’s storyMaster of Science in Microbiology
Microbiology at Witham Memorial Hospital: 2002 – 2007
Infection
Preventionist
at St. Vincent:
2007
– 2017
Infection Preventionist at Eskenazi Health: 2017 – 2018Infection Preventionist at Riley Hospital for Children: 2018 – present
Slide6DJ’s StoryBachelor of Science in Human Biology
Master of Public Health in Epidemiology
Pharmacy Technician: 2012 – 2016
Infectious disease academic research at Indiana University: 2015 – 2017
Antimicrobial Resistance Epidemiologist at ISDH: 2016 – 2019
Infection
Preventionist
at Eskenazi Health: 2019 – present
Slide7Infection prevention is a diverse field
Nursing
Lab
Public
Health
Infection Prevention
Slide8Same destination, different routes
You are here: Infection Prevention!
Slide9Why are we talking about this?
APIC National focus
Nursing shortage
2015 APIC
MegaSurvey
Limited awareness of the Infection Prevention field
Slide10Apic
national focus
Slide11Nursing shortageNational Council of State Boards of Nursing and the Forum of State Nursing Workforce Centers: (2018)
50.9% of nurses are 50 or older
Journal of Nursing Regulation, Peter
Buerhaus
et al. (2017):
Since 2012, around 60,000 nurses have retired annually
By the end of
the decade, ≥70,000 nurses will retire annuallyAn estimated one million nurses will retire from 2017-2030
Slide12Nursing shortage
Slide13Nursing shortageBureau of Labor Statistics:
Projection of need for an additional 203,700 new nurses each year through 2026
American Association of Colleges of Nurses (AACN)
3.7% enrollment increase in 2018; not enough to cover projected demand
Qualified applicants are turned away due to the lack of faculty, clinical sites, space, preceptors, and budget
Slide14Apic
competency model
Slide15Four Domains Leadership and Program Management
Collaboration
Followership
Influence
Program management
Critical thinking skills
Communication
Infection Prevention and Control
Use and interpretation of diagnostic testsAntimicrobial stewardshipEducationResearch
Slide16Four Domains Technology
EMR and
Electronic Data Warehouse
Performance Improvement and Implementation Science
Identification of need for PI
Assembly of PI team
Tools and methods
Implementation
Measuring success
Slide17Infection prevention Core competencies
Identification of infectious disease processes
Surveillance and epidemiologic investigations
Preventing/controlling the transmission of infectious agents
Employee/occupational health
Management and communication
Education and research
Slide182015 apic megasurvey
“Differences in prior experience and backgrounds have important implications for practice, in that the recruitment of professionals with diverse educational backgrounds may benefit an organization that has multiple IP positions or unique infection prevention needs.
It
also has the potential to broaden the worldview of our profession, potentially encouraging the implementation of innovative ideas and practices at the bedside.
The
ability to examine the educational background of practicing IPs is an important contribution to the field and will facilitate recruitment and hiring strategies to cater to the evolving needs of our
profession.”
Slide192015 apic megasurvey
“Traditionally, individuals with a nursing background have filled the IP role
within health
care facilities; however, more recently, those with other professional
non-nursing backgrounds
, such as public health, laboratory professionals, and foreign medical graduates, are working within the infection prevention and control (IPC) role. These
non-nurses
contribute their unique knowledge, training and skills to advance the IP profession…”
Slide202015 apic megasurvey
Respondents
31% of all members participated
82% of respondents with primary discipline as nursing
Nurses = 3342
Laboratory Workers = 402
Public Health Workers = 189
Foreign Medical Graduates = 25Other = 107
Slide21Boxes indicate which competency each discipline
feels
the most expert
Slide22Boxes indicate when discipline feels more novice than expert
Slide232015 APIC megasurvey
Slide242015 apic megasurvey
Slide252015 apic megasurvey
Slide262015 apic megasurvey
Slide27Local survey…
Slide28Lab strengths and weaknessesStrengths
Specimen collection techniques
Laboratory expertise
Organisms and antibiotics
Result interpretation
Established relationships with clinical staff
Data savvy
Different perspectives on healthcare experiences
WeaknessesLacking clinical knowledgeMedical devicesProcesses
Typically not assertiveNot familiar with advocating for the patient
Slide29Nursing strengths and weaknesses
Strengths
Clinical knowledge
Patient advocacy
Understand nursing practices/processes
Bundle compliance while at the bedside
Clinical EMR views
Human biologyAnatomy, physiology, pathologyEstablished relationships with clinical staff
Communication with patients and familiesWeaknesses
Laboratory scienceResult interpretationMicrobiologyEpidemiology and statisticsDifficulty in separating oneself from nursing practices
Slide30Public health strengths and weaknesses
Strengths
Epidemiology and Data
Behavioral science
Interdisciplinary communication
Research experience
Big picture on population health and prevention measures
Different perspectives on healthcare experiences
WeaknessesLittle to no healthcare/clinical experienceLacking experience communicating with clinical staff
Interpreting laboratory results
Slide31What we can do to help the growing field
Other disciplines in healthcare are used to/comfortable with nurses as IPs
Help each other learn
Be patient
Explain unfamiliar concepts
Clinical (e.g., terminology, processes)
Laboratory (e.g., lab interpretation)
Epidemiology (e.g., data)Be an advocate for one anotherIntroduce us to your friends and colleaguesHighlight each others’ strengths
Slide32What we shouldn’t do to hinder the growing field
Don’t pretend to know everything
Be comfortable admitting you don’t know the answer
Don’t be afraid to ask for help
Don’t presume one’s knowledge based on their educational background
Slide33conclusionWe can utilize our diverse backgrounds to enhance patient safety
We know we’re going to be facing an IP shortage (along with the nursing shortage)
How do we leverage
all
educational backgrounds to bridge the gap?
Attend career fairs
Guest lectures in college
Internship processAPIC-IN workgroup
Slide34Conclusion
https://www.youtube.com/watch?v=5rPk9XhA700
Slide35Thank you!
DJ Shannon, MPH, CIC,
Eskenazi
Health
Jaime
Redkey
, MS, CIC, Riley hospital for children