|
Have seen the VA guidelines for MRSA prevention in SCI/D Centers
|
76 (79.17)
|
69 (52.27)
|
<0.0001
|
|
Agreea that your SCI/D center/interdisciplinary team works closely with the hospital MRSA Prevention Coordinator (MPC) to prevent MRSA transmission
|
72 (75)
|
85 (64.39)
|
0.0877
|
|
There is a person or a group of people (aside from the hospital MPC) responsible for implementation of SCI/D Center MRSA Program guidelines in your unit
|
69 (71.88)
|
75 (56.82)
|
0.02
|
|
Agreea that staff resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate
|
79 (84.04)
|
75 (61.98)
|
0.0004
|
|
Agreea that training resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate
|
76 (81.72)
|
76 (63.87)
|
0.0042
|
|
Agreea that funding resources provided by the SCI/D Chief to implement the SCI/D MRSA Program are adequate
|
45 (70.31)
|
41 (43.16)
|
0.0008
|
|
Agreea that implementation of the SCI/D Center MRSA Program guidelines has greatly improved your ability to prevent MRSA transmission to MRSA-negative patients in the SCI/D unit
|
71 (73.96)
|
65 (49.24)
|
0.0002
|
|
Agreea that implementation of the SCI/D Center MRSA Program guidelines has greatly improved your ability to prevent MRSA infection in all SCI/D patients
|
65 (67.71)
|
58 (43.94)
|
0.0004
|
|
Usually or alwaysb indicate in a signed/dated progress note that communication with a patient about MRSA screening has occurred
|
56 (65.12)
|
39 (34.82)
|
<0.0001
|
|
Frequency of practicing the following in your SCI/D center
| | | |
|
Usually or alwaysb encourage visitors/family members to perform hand hygiene before/after all patient contact
|
82 (88.17)
|
86 (68.25)
|
0.0006
|
|
Usually or alwaysb encourage SCI/D patients to perform hand hygiene before/after interacting with other patients
|
80 (84.21)
|
79 (61.72)
|
0.0002
|
|
Usually or alwaysb encourage SCI/D patients with impaired hand function to ask for assistance to perform hand hygiene
|
82 (86.32)
|
82 (64.57)
|
0.0003
|
|
Usually or alwaysb bathe SCI/D patients every day
|
31 (43.66)
|
29 (28.16)
|
0.0344
|
|
Agreea that health care worker hand hygiene is an effective way to reduce MRSA transmission and the development of MRSA infections in SCI/D patients
|
94 (97.92)
|
125 (94.7)
|
0.2177
|
|
Agreea that I feel comfortable reminding other staff in the SCI/D unit when they do not clean their hands
|
74 (77.08)
|
79 (59.85)
|
0.0062
|
|
Agreea that patient hand hygiene is an effective way to reduce MRSA transmission and development of MRSA infections in SCI/D patients
|
91 (94.79)
|
113 (85.61)
|
0.0257
|
|
Agreea that MRSA colonization can be prevented in SCI/D patients
|
66 (70.97)
|
74 (62.71)
|
0.2076
|
|
Agreea that MRSA transmission in hospitalized SCI/D patients can be prevented
|
77 (81.05)
|
92 (73.6)
|
0.1945
|
|
Barriers to cohorting/isolating MRSA-positive patients
| | | |
|
Availability of beds
|
63 (65.63)
|
85 (64.39)
|
0.8475
|
|
Too many MRSA-positive patients
|
60 (62.5)
|
72 (54.55)
|
0.2297
|
|
Layout of unit
|
24 (25)
|
47 (35.61)
|
0.0877
|
|
Patients refuse or get upset
|
20 (20.83)
|
34 (25.76)
|
0.3879
|
|
Visitors/family members refuse or get upset
|
21 (21.88)
|
37 (28.03)
|
0.292
|
|
Too busy
|
7 (7.29)
|
9 (6.82)
|
0.8901
|
|
Delayed time to get results
|
13 (13.54)
|
18 (13.64)
|
0.9836
|
|
Disrupts work flow of unit
|
15 (15.63)
|
26 (19.7)
|
0.4293
|
|
Other
|
10 (10.42)
|
24 (18.18)
|
0.1041
|
|
Barriers to patient hand hygiene in your SCI/D unit
| | | |
|
Not enough staff available to assist
|
19 (19.79)
|
34 (25.76)
|
0.2924
|
|
Inadequate availability of wheelchair accessible sink with soap and water
|
9 (9.38)
|
22 (16.67)
|
0.1127
|
|
Inadequate availability of touchless soap or hand sanitizer
|
16 (16.67)
|
34 (25.76)
|
0.1014
|
|
Patient unwilling to perform hand hygiene
|
52 (54.17)
|
85 (64.39)
|
0.1195
|
|
Other
|
21 (21.88)
|
27 (20.45)
|
0.7951
|
|
Barriers to changing gown and gloves in-between patients
| | | |
|
SCI/D unit layout
|
9 (9.38)
|
31 (23.48)
|
0.0057
|
|
Competing demands/too busy
|
27 (28.13)
|
38 (28.79)
|
0.9128
|
|
Multi-bed rooms
|
37 (38.54)
|
71 (53.79)
|
0.0228
|
|
Expense of supplies
|
3 (3.13)
|
17 (12.88)
|
0.0102
|
|
Staff do not follow the SCI/D Center MRSA Program guidelines
|
15 (15.63)
|
37 (28.03)
|
0.0275
|
|
Other
|
20 (20.83)
|
33 (25)
|
0.4621
|
