2.50
Hdl Handle:
http://hdl.handle.net/10755/183037
Category:
Abstract
Type:
Presentation
Title:
Improving Patient Safety By Reduction of Catheter Related Blood Stream Infections (CR-BSI)
Author(s):
Tonnesen, Lorrie; Milam, Wendy
Author Details:
Lorrie Tonnesen, RN, BSN, CCRN, Munroe Regional Medical Center, Ocala, FL, email: lorrietonnesen@mrhs.org; Wendy Milam, RN, MS, CCRN
Abstract:
Purpose: Implement and evaluate four nursing interventions that would be effective in decreasing catheter related blood stream infection (CR-BSI) reduction. Method: A literature/research review was conducted of CR-BSI protocols from other facilities. A gap analysis of our day to day practice VS. our current infection policies with best practice was completed. We compared our current policies to Evidence Based Practice. A plan was developed and implemented. Educated staff regarding new changes in our processes to reach better outcomes for our patients: added four indicators to current Daily Goal sheet; catheter audits on all patients monthly; daily review of "line days" during handoff report; daily review of daily necessity; changing from a positive pressure device to a neutral pressure device. Findings: As a result of the implementation of the nursing interventions, we were able to achieve a reduction in CR-BSI rate below the National Nosocomial Infection Surveillance (NNIS) rate. In 2008, the number of line days was 2600 with an infection rate per 1000 of 2.31%. In 2009, the line days increased to 2887, but the rate of infection per 1000 dropped to 1.38%, below the NNIS ratio of 4.4. In addition, other positive process improvements and outcomes were achieved, including increased awareness of staff regarding the importance of reviewing the need for the lines daily, the amount of days line is in, additional time to make sure the "hub" is sterile before accessing the line each time, and complete removal of all positive displacement devices from all central lines, including PICC's. Discussion: Catheter related blood stream infections were included in the list of preventable harm developed by the Center for Medicare and Medicaid Services. According to the CDC, the current reported rates represent about 80,000 patients who suffer annually from a central venous catheter infections. The main strategies for prevention of CR-BSI's are already in practice at Munroe. These include the Central Line Bundle, a specialized cart for placement of lines and a PICC team to help reduce the incidence of CR-BSI's. We feel that with the continuation of Evidence Based Practice and nursing education that we can continue to decrease and achieve a goal of zero CR-BSI's.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.titleImproving Patient Safety By Reduction of Catheter Related Blood Stream Infections (CR-BSI)en_GB
dc.contributor.authorTonnesen, Lorrieen_US
dc.contributor.authorMilam, Wendyen_US
dc.author.detailsLorrie Tonnesen, RN, BSN, CCRN, Munroe Regional Medical Center, Ocala, FL, email: lorrietonnesen@mrhs.org; Wendy Milam, RN, MS, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/183037-
dc.description.abstractPurpose: Implement and evaluate four nursing interventions that would be effective in decreasing catheter related blood stream infection (CR-BSI) reduction. Method: A literature/research review was conducted of CR-BSI protocols from other facilities. A gap analysis of our day to day practice VS. our current infection policies with best practice was completed. We compared our current policies to Evidence Based Practice. A plan was developed and implemented. Educated staff regarding new changes in our processes to reach better outcomes for our patients: added four indicators to current Daily Goal sheet; catheter audits on all patients monthly; daily review of "line days" during handoff report; daily review of daily necessity; changing from a positive pressure device to a neutral pressure device. Findings: As a result of the implementation of the nursing interventions, we were able to achieve a reduction in CR-BSI rate below the National Nosocomial Infection Surveillance (NNIS) rate. In 2008, the number of line days was 2600 with an infection rate per 1000 of 2.31%. In 2009, the line days increased to 2887, but the rate of infection per 1000 dropped to 1.38%, below the NNIS ratio of 4.4. In addition, other positive process improvements and outcomes were achieved, including increased awareness of staff regarding the importance of reviewing the need for the lines daily, the amount of days line is in, additional time to make sure the "hub" is sterile before accessing the line each time, and complete removal of all positive displacement devices from all central lines, including PICC's. Discussion: Catheter related blood stream infections were included in the list of preventable harm developed by the Center for Medicare and Medicaid Services. According to the CDC, the current reported rates represent about 80,000 patients who suffer annually from a central venous catheter infections. The main strategies for prevention of CR-BSI's are already in practice at Munroe. These include the Central Line Bundle, a specialized cart for placement of lines and a PICC team to help reduce the incidence of CR-BSI's. We feel that with the continuation of Evidence Based Practice and nursing education that we can continue to decrease and achieve a goal of zero CR-BSI's.en_GB
dc.date.available2011-10-28T16:11:52Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:11:52Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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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