St. Vincent's Medical Center Educational Video Script Copywriting

St. Vincent's  Medical Center in Bridgeport, CT wanted to educate its nursing staff on procedures for stopping IV catheter-related bloodstream infections that cost lives. Gregor & Co. wrote the script for this video that was concieved by Fred Caserta, Caserta Design, Stratford, CT. Featuring an animated puppet "actor" "Boris Bacterium," the video took a light approach to this very serious subject.

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St. Vincents Medical Center
IV Video

Audio: Video:
(Super) This short video is intended to educate and entertain. It will outline four simple steps healthcare workers can take to minimize IV catheter-related bloodstream infections, also known as CRBSI. It is not intended to replace proper healthcare instruction.
(Super/Title) IV Catheter-related Bloodstream Infections Are No Joke
(Donna Caserta ON-CAMERA)
Hello, I’m Donna Caserta. In my 30 years as an IV nurse I’ve seen the many incredible technological advances that have transformed the medical industry. Technology is a wonderful thing but it can not replace good basic care.

(Donna VO)
For your patients’ sake it is essential to use proper aseptic technique when inserting and maintaining central lines and changing dressings. Simple tasks such as correct hand washing and ensuring the proper maintenance of all IV tubing and connections are paramount in preventing the spread of infection. The omission of any one of these steps could be the catalyst that sets the stage for an IV catheter-related bloodstream infection.

Nationally, there are approximately 250,000 IV catheter-related bloodstream infections every year. They are the most dangerous hospital acquired infections with an attributable mortality rate of 25% and can increase the cost of care by as much as $56,000 per case.

Cut  to Donna Caserta in hospital room speaks to camera.

Footage of wound care techniques, hand washing.
 

 

Stills of statistics

“Nationally 250,000 every year”

“Attributable mortality rate of 25%”

“Increase cost of care $56,000”

This video demonstrates 4 simple steps to help prevent Catheter related blood-stream infections, Cut to Super of “Four Simple Steps”

(Donna on camera) But remember no matter what you hear – IV catheter-related bloodstream infections are no joke.
Cut back to Donna in hospital room or walking in corridor.
Cut to a “Dive bomb” shot into a sink, “micro” view of bacterial life – “germ balls” around
(Raucous Club Music) Cut to animated “Club CRBSI”
“NOW APPEARING: Boris Bacterium”
(Boris Bacterium on camera): What’dya mean no joke? Cmon, loosen up Donna baby, I like to have a good time. I’m a real fun-guy, get it fungi?! (rim shot, crowd roars). What did the Mrsa virus guy say to the cute Staph germ at the catheter hub? “Scum here often?” (rim shot, laughs). Hey, any health care workers out there?  You wash your hands?
(Boris and all his buddies) Party-crasher!!!! (laughs, rim shot)

(Boris)
Hey, I’m just back in from a national tour… I took a few shots along the way I’d like to share with ya… Check ‘em out, it’s some of my best work yet!!!!
(Boris)
Ooooh… is there a doctor in the house?!?!  Yeh? Well get outta here!!!

(Boris)
What did the mold say when he had his picture taken? Cheese!! (crowd groans at bad joke). Tough crowd.
“Boris Bacterium” at mic doing his stand-up routine.

 

3 Snapshots on screen(Overlaying build) of severe CRBSI wound shots.

Motions to someone in crowd

(VO Donna/Narrator) Some of us just don’t get it (chuckles) but IV catheter- related bloodstream Infections are nothing to laugh at, so let’s get serious about CRBSIs, by looking at the incorrect and then correct procedures for performing four simple steps to prevent CRBSIs. Boris your days are numbered
Fade back to sink area/wash station

(Super) Incorrect Hand Hygiene

(Boris appears giving thumbs up – germ ball buddies following him?)

(VO) Boris and his gang are opportunists. Beware. Improper hand hygiene creates opportunities for infection.

Wearing excessive jewelry provides a breeding ground for bacteria and facilitates the transmission of infections….

(Boris VO) I love bling!

Not using alcohol hand sanitizer…

and using cold water NOT warm water …

Not using enough soap….

Not scrubbing hands for at least 15 seconds – …

Not drying your hands thoroughly with paper towels….

And not turning off the faucet using a paper towel

These are all incorrect hand-washing scenarios that Boris loves.

(Cut to live shot of worker in sink area “germ balls” around room)
CU of Healthcare worker with too much jewelry on.

Healthcare worker enters room, presses dispenser for Alcohol hand sanitizer (it’s empty) looks annoyed and goes to sink without using the alcohol wash.

Uses cold water NOT warm

Doesn’t use soap or not enough soap

Doesn’t scrub hands for the ideal amount of time

Doesn’t dry hands with paper towel – just shakes and walks away

Doesn’t shut off water using paper towel
Boris reacts
(Super) Correct Hand Washing Procedures

(VO) Sorry Boris your all washed up now. Here’s the correct way to wash your hands.

Note that the Healthcare worker is wearing minimal jewelry denying a breeding ground for bacteria. 

If the Alcohol hand sanitizer or other hand washing supplies need replacing call housekeeping for a refill.

Use warm water…..

Use plenty of soap….

Scrub the tops and bottoms of your hands, between fingers and up your wrists for at least 15 seconds. Rinse with hands pointed down….an easy way to time 15 seconds is to sing Happy Birthday

Dry your hands thoroughly with paper towel(s)….

Turn off the faucet  using paper towels to prevent germs from re-infecting clean hands….

Throw towel in waste basket

This is correct hand hygiene

(Cut to live shot of worker in sink area)
(Boris VO) you think a little soap can hurt me?

Close-up on worker’s hands showing minimal jewelry.

Healthcare worker presses dispenser for Alcohol Wash (It’s empty) she picks up phone and calls housekeeping for a refill.

She goes to sink.
Uses warm water wets hands
Uses plenty of soap

Scrubs hands, lower arms, turns fingers down toward drain to rinse

(Boris V0) birthday smirthday(in a disgusted voice)

Dries hands thoroughly with paper towel(s)

Shuts off water using paper towel

 

Boris pokes his head in and gives a look of disgust.

(Super) Incorrect “Scrub-the-Hub” Procedures

(Boris appears with arms raised in victory – germ ball buddies following him?)

(VO) Scrubbing the hub is the second step on our list.  Boris and his cronies are always waiting here for a free ride.

Not washing hands…

Not wearing gloves…

Not having equipment organized…

Not “Scrubbing-the-hub” with alcohol preps  before accessing it allows any bacteria that is sitting on the hub a free ride down the tubing right into the blood stream …

connecting an IV line that has been laying on the floor or hanging over IV pole  without an end cap is another opportunity for Boris and his gang

So you can see how not Scrubbing the hub can lead to infection. 
(Cut to live shot of worker in hospital room with patient “germ balls” around room)

Nurse does not wash hands

Nurse does not put gloves on

Equipment is disorganized

Does NOT “Scrub-the-hub” with Alcohol Preps – just connects syringe to it

Flushes the line

 

Freddie we had talked about trying to show this some how.  I don’t know how we can do it with Boris

 

Hooks-up IV line that has been laying on the floor – no end cap

(Super) Correct “Scrub-the-Hub” Procedures

(VO) Scrubbing the hub correctly is fast and easy if you follow these simple steps. 

The healthcare worker washes hands…

Puts gloves on…

Has equipment organized

“Scrubs-the-hub” with Alcohol preps….

Flushes the line only after scrubbing to prevent bacteria from migrating down the tubing and blood stream…

Hooks-up IV tubing after removing sterile end cap

….
Sorry Boris, look for a free ride somewhere else.
(Cut to live shot of nurse in hospital room with patient)

Nurse washes hands

Nurse puts gloves on

Has equipment organized equipment will be syringe, alcohol wipes and IV tubing

 

Does “Scrub-the-hub” with Alcohol preps

Attaches syringe to hub

Flushes the line

Hooks-up IV line noting that it has an end cap

(Super) Incorrect IV Tubing maintenance scenario
(Boris doing fist pump – germ ball buddies following him?)
Ensuring tubing sterility is the third step. Boris and his gang could put on a command performance in a non-sterile tube.

 

Not washing hands…

Not wearing gloves…

Using IV tubing that has been lying on the floor or hanging over the IV pole without an end cap. Simply wiping the end of the tubing with alcohol is not sufficient to eliminate bacterial contamination

Not scrubbing-the-hub

Not checking date on tubing to ensure that it has not exceeded the 96 hour hang time.

Boris could open up a whole new Club crsbi in non-sterile tubing.
(Cut to live shot of worker in hospital room with patient “germ balls” around room) germ balls should be attached to tubing  and around tubing on floor

Nurse does NOT wash hands

Nurse does NOT put gloves on

Hooks-up IV line that has been lying on the floor without an end cap  to picc site on  arm

 

Hooks up IV without scrubbing hub

 

Boris can be seen jumping for joy or high fiving buddies.
(Super) Correct IV Tube Sterility Procedures

(VO) With this correct scenario Boris has no stage for his act.

The healthcare worker washes hands…

Puts gloves on…

Makes sure IV line has an end cap and has not been contaminated. When in doubt, throw it out.

“Scrubs-the-hub” with Alcohol preps…
Before starting IV pump. Tubing and bag are checked for proper labeling, ensuring tubing has not been hanging for more then 96 hours and bag has been changed within 24 hours.  

Correct procedures will have Boris taking his act on the road
(Cut to live shot of worker in hospital room with patient)

Nurse washes hands

Nurse puts gloves on

IV line is on floor without an end cap, nurse changes the line.

Scrubs-the-hub at Q-site on arm

Starts IV Pump after checking tubing and bag labels for date

 

Boris is on phone with Realtor trying to find new place for club (Fred, the phone thing  might not read, maybe he should be getting thrown off the stage)

(Super) Incorrect “Dress for Success” Procedures
(Boris does somersaults across scene – germ ball buddies following him?)
(VO)
The forth step we like to call dress for success. Non occlusive or soiled dressings present opportunities for CRBSI. They can be a smorgasbord for Boris and his friends.

 

Not washing hands….
Not wearing gloves….

 

Not inspecting dressing for integrity and date.

 

Not inspecting IV Site for redness, swelling, drainage, skin irritation, clotted blood and other signs of compromise.

 

This site has not been Dressed for success

(Cut to live shot of worker in hospital room  – germ balls around the room)
Fred, just an idea, if we could set the gang up like at a dining table with mini plates like they were waiting to eat at a smorgasbord. How funny would that be. It would be even funnier if we put black bow ties on them . Oh man, my brain is on over load.

Healthcare worker walks by sink without washing hands and approaches dressing site with no gloves.

Healthcare worker does NOT check dressing for appropriate date dressing was applied

CU on dressing at triple-lumen site on neck that is in poor condition  - Disgusting, not intact, end pieces loose clotted with blood, redness and swelling present, puss, skin irritation, looks horrible. Healthcare worker simply puts a piece of tape over dressing/date and “walks away”

Boris appears and comments “Time to party” rubbing hands.
(Super) Correct “Dress for Success” Procedures

(VO) Now it’s time to really ruin Boris’ day. Dressing for success is easy if you just follow a few simple steps. Correct “Dress for Success” procedures are a deterrent to CRBSIs,

Wash hands…..

Wear gloves…

Check the IV dressing to make sure the insertion date is current and dressing is intact…if it is not, change it now. Getting to it later is not an option. .

Make sure the site does not exhibit signs of infection and is not compromised in any way.….

Remove gloves and dispose of them properly …..

Wash hands

Dressing for Success makes it difficult for Boris and his friends to set up shop in an IV Site.  Sorry dude, your restaurant was closed for a health violation.

 

Healthcare worker washes hands

Healthcare worker puts gloves on

Healthcare worker checks IV line insertion date. Checks dressing at triple-lumen site at neck and sees that it is in bad condition and out of date – changes the dressing and labels with new date.

 

Removes gloves and disposes them in a waste basket.

Wash hands

Boris reacts angrily
(VO) Preventing Catheter related blood-stream infections is an ongoing process. Correct hand hygiene, scrubbing the hub, maintaining tubing sterility and dressing for success are just some of the things we can do to achieve a goal of zero CRBSI’s. The steps may seem simple, so remember them, because catheter related blood stream infections are no joke.

(Boris on camera)
Again with the “No Joke,” your killin me, Donna, I’m just trying to make a livin here, come on, gimme one more chance…Hey What dya call a week-old  blood encrusted dressing? Lunch! (laughs, rim shots) did you hear the one about the….. 
(Boris’ routine fades)

MUSIC

(Boris VO) Mess up on those 4 simple steps and I’ll be back

– you can bet on it.

Cut to Super of “Four Simple Steps”

 

 

Cut to Boris and his germ ball friends back at the CRBSI Lounge where his rant continues and then he goes into his stand-up act again

FADE Black

Credits

Boris pops back on screen with a menacing pose, possibly edit in the 3 snapshots of the severe CRBSI wounds again with Boris.

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