May 22, 2023

Report of the Infection Control Nurse

Environmental Swabbing
Area Pediatric ICU
Floor 5th Floor
Rooms 508, 509, & 510
Indication for Outbreak of Serratia among PICU Patients and per request of the Pedia
Environmental Swabbing Department
Pre-Cleaning May 14, 2023 (See Attached Results)
Environmental Swab
Post-Cleaning May 18, 2023 (See Attached Results)
Environmental Swab
Conclusion Most probably, the outbreak began with a human source spread through
severe understaffing and poor hand hygiene compliance. Last March
2023 our hand hygiene compliance rate for hand washing was 30.00%
and 3.00% for hand rub. In addition, we have experienced a massive
resignation in the nursing department, resulting in a shortage of staff
and limiting the rotating staff that could care for PICU patients.
Furthermore, the recommended Nurse – Patient Ratio for PICU 1 nurse
is to 3 patients, but with the current staffing our ratio is 1 nurse is to 9
patients. With this given ratio the quality of care and infection
prevention and control adherence is compromised.
IPCC Recommendation The IPCC would like to emphasize on the importance of good hand
hygiene compliance and ensure adequate staffing thru appropriation of
bed capacity to available number of nurses. No objection to resume
PICU Operation, awaiting final disposition of pediatric team.

Prepared by:

ROLANDO M. TABINAS, RN, IPCN JOHN DEAN P. MACASAET, RN,

IPCN
Nurse Supervisor – ICC Nurse Supervisor - ICC

Noted by:

BRENDA B. LIZARDO, RN, MAN ISSA RUFINA TANG, MD

Nursing Service Office – OIC IPCC Chairperson