2.50
Hdl Handle:
http://hdl.handle.net/10755/164097
Category:
Abstract
Type:
Presentation
Title:
Developing the Role of the Clinical Nurse Specialist as an Internal IV Therapy Consultant
Author(s):
Morrison, Dolores
Author Details:
Dolores Morrison, MSN, RN, ACNS-BC, Albert Einstein Healthcare Network, Ambler, Pennsylvania, USA, email: nacnsorg@nacns.org
Abstract:
PURPOSE/OBJECTIVES: The purpose of this presentation is to provide information for the CNS whose goal is to become a consultant in a specialized area of nursing. The CNS developed a new role as IV Therapy Consultant after identifying clinical problems and learning of the unacceptable Catheter Associated Blood Stream Infection (CLABSI) rate in an acute care facility. SIGNIFICANCE: Each year an estimated 250,000 cases of CLABSIs occur in the United States, leading to at least 30,000 deaths. The additional cost for each infection is over $36,000. The CNS is responsible for benchmarking this nursing-sensitive indicator and can improve outcomes. The CNS provides consultation to influence the identified plan, enhances the abilities of others, and effects change. The CNS must possess skill, expertise and knowledge in the particular area of consultation to navigate a struggling system. Background/Rationale: Prior to the development of the CNS role of IV Therapy Consultant, the CLABSI rate at Albert Einstein Healthcare Network (AEHN) was 6.5%, above benchmark. The IV team was the only resource for nurses. Clinical practice was guided by tradition and nurses were reluctant to change. DESCRIPTION: The CNS reviewed the literature and collaborated with nursing staff, physicians, interventional radiology, and national IV consultants, to develop evidence-based policies. Products were piloted to determine efficacy and a new central line dressing kit was designed. House wide education and a mandatory bedside competency were completed. An audit tool was developed for monitoring compliance. Additionally, an IV "super user" group was created to support staff. Data was analyzed in collaboration with the infection control department. OUTCOME: One year following the development of the role of the IV Therapy Consultant, the CLABSI rate for AEHN had decreased to 2.27%. Bedside audits revealed 90% compliance with changing CVC dressings and discontinuing CVCs when no longer clinically indicated. INTERPRETATION/CONCLUSION: Engaging in the consulting process requires multidirectional analyses. Navigating a healthcare facility system is daunting but can be very informative especially for the new CNS. IMPLICATIONS FOR PRACTICE: Current health care affords opportunities for CNSs to serve as consultants. Problem identification, action planning, and evaluation are key components to successful consultation.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDeveloping the Role of the Clinical Nurse Specialist as an Internal IV Therapy Consultanten_GB
dc.contributor.authorMorrison, Doloresen_US
dc.author.detailsDolores Morrison, MSN, RN, ACNS-BC, Albert Einstein Healthcare Network, Ambler, Pennsylvania, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164097-
dc.description.abstractPURPOSE/OBJECTIVES: The purpose of this presentation is to provide information for the CNS whose goal is to become a consultant in a specialized area of nursing. The CNS developed a new role as IV Therapy Consultant after identifying clinical problems and learning of the unacceptable Catheter Associated Blood Stream Infection (CLABSI) rate in an acute care facility. SIGNIFICANCE: Each year an estimated 250,000 cases of CLABSIs occur in the United States, leading to at least 30,000 deaths. The additional cost for each infection is over $36,000. The CNS is responsible for benchmarking this nursing-sensitive indicator and can improve outcomes. The CNS provides consultation to influence the identified plan, enhances the abilities of others, and effects change. The CNS must possess skill, expertise and knowledge in the particular area of consultation to navigate a struggling system. Background/Rationale: Prior to the development of the CNS role of IV Therapy Consultant, the CLABSI rate at Albert Einstein Healthcare Network (AEHN) was 6.5%, above benchmark. The IV team was the only resource for nurses. Clinical practice was guided by tradition and nurses were reluctant to change. DESCRIPTION: The CNS reviewed the literature and collaborated with nursing staff, physicians, interventional radiology, and national IV consultants, to develop evidence-based policies. Products were piloted to determine efficacy and a new central line dressing kit was designed. House wide education and a mandatory bedside competency were completed. An audit tool was developed for monitoring compliance. Additionally, an IV "super user" group was created to support staff. Data was analyzed in collaboration with the infection control department. OUTCOME: One year following the development of the role of the IV Therapy Consultant, the CLABSI rate for AEHN had decreased to 2.27%. Bedside audits revealed 90% compliance with changing CVC dressings and discontinuing CVCs when no longer clinically indicated. INTERPRETATION/CONCLUSION: Engaging in the consulting process requires multidirectional analyses. Navigating a healthcare facility system is daunting but can be very informative especially for the new CNS. IMPLICATIONS FOR PRACTICE: Current health care affords opportunities for CNSs to serve as consultants. Problem identification, action planning, and evaluation are key components to successful consultation.en_GB
dc.date.available2011-10-27T11:41:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:58Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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