Development and Implementation of an EBP Bundle to Decrease Catheter Associated Blood Stream Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/182464
Category:
Abstract
Type:
Presentation
Title:
Development and Implementation of an EBP Bundle to Decrease Catheter Associated Blood Stream Infections
Author(s):
Deutschman, Laura
Author Details:
Laura Deutschman, RN, MS, Children's Hospital of Michigan, Detroit, Michigan, USA, email: ldeutsch@dmc.org
Abstract:
Purpose: To reduce Catheter Associated Blood Stream Infections (CA-BSI) in 2006 by 50% through the development and implementation of evidence based bundle. Background: The Neonatal Intensive Care Unit (NICU) is a 32 bed level 4 referral unit. Patients require centrally placed catheters for treatment of complex disease process including severe prematurity, cardiovascular, surgical and neurological malformations. Methods: This was a quality improvement initiative using the standard PDCA (Plan Do Check Act) to optimize patient safety in the NICU. Adult and Pediatric Intensive Care Units CA-BSI Bundles supported by national quality initiatives were reviewed and adapted for the neonatal population. We measured compliance, process and outcome. CA-BSI rates were calculated according to standardized Center for Disease Control and Prevention (CDC), National Healthcare Safety (NHSN) methodology. Results: The rate for 2006 was 3.96 per 1000 catheters days, a greater than 50% reduction. CA-BSI remained below our goal in 2007 at 3.21 per 1000 catheter days. This resulted in the prevention of 35 CA- BSI for our patients over 2 years. Discussion: The neonatal bundle changed practice, products and process. It included a daily needs assessment tool, a PICC insertion checklist, and a dressing change checklist. Hub and connection scrubs with alcohol and strict hand hygiene were reinforced. Criteria were developed with pharmacy to facilitate timely intralipid discontinuation. Implications: Expand the NICU bundle to include maintenance of central lines. Encourage staff to participate in research based care.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleDevelopment and Implementation of an EBP Bundle to Decrease Catheter Associated Blood Stream Infectionsen_GB
dc.contributor.authorDeutschman, Lauraen_US
dc.author.detailsLaura Deutschman, RN, MS, Children's Hospital of Michigan, Detroit, Michigan, USA, email: ldeutsch@dmc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182464-
dc.description.abstractPurpose: To reduce Catheter Associated Blood Stream Infections (CA-BSI) in 2006 by 50% through the development and implementation of evidence based bundle. Background: The Neonatal Intensive Care Unit (NICU) is a 32 bed level 4 referral unit. Patients require centrally placed catheters for treatment of complex disease process including severe prematurity, cardiovascular, surgical and neurological malformations. Methods: This was a quality improvement initiative using the standard PDCA (Plan Do Check Act) to optimize patient safety in the NICU. Adult and Pediatric Intensive Care Units CA-BSI Bundles supported by national quality initiatives were reviewed and adapted for the neonatal population. We measured compliance, process and outcome. CA-BSI rates were calculated according to standardized Center for Disease Control and Prevention (CDC), National Healthcare Safety (NHSN) methodology. Results: The rate for 2006 was 3.96 per 1000 catheters days, a greater than 50% reduction. CA-BSI remained below our goal in 2007 at 3.21 per 1000 catheter days. This resulted in the prevention of 35 CA- BSI for our patients over 2 years. Discussion: The neonatal bundle changed practice, products and process. It included a daily needs assessment tool, a PICC insertion checklist, and a dressing change checklist. Hub and connection scrubs with alcohol and strict hand hygiene were reinforced. Criteria were developed with pharmacy to facilitate timely intralipid discontinuation. Implications: Expand the NICU bundle to include maintenance of central lines. Encourage staff to participate in research based care.en_GB
dc.date.available2011-10-28T15:25:24Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:25:24Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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.-
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