2.50
Hdl Handle:
http://hdl.handle.net/10755/203256
Type:
Presentation
Title:
Leaning to Zero Initiative for CLABSI
Abstract:
(Summer Institute) Problem: In 2007, East Orange General Hospital's Intensive Care Unit had a high CLABSI rate of 5.4% with the national benchmark being 2.1%. In 2008 CLABSI became one of the Never Events by the Center for Medicare and Medicaid Services. Evidence: There was an increase in femoral line insertions from the Emergency Department and 95% of the central lines were inserted by one vascular surgeon. The staff nurses were not consistent in scrubbing the hub of the central line ports and IV tubings. The environment has multiple microorganisms and can be a mode of transmission for microbes. Strategy: The institution joined the state and national STOP-BSI initiatives. The Infection Control Team and ICU team met to develop goals for the project and a project name. The team made recommendations to have an Infection Control device surveillance nurse 7 days a week. Meetings were held involving Emergency medical and nursing leadership to address femoral line insertions. The vascular surgeon who inserted 95% on the central lines was made the physician champion for the initiative. Practice Change: Use of the Central Line Bundle Checklist, using a surveillance nurse monitor compliance of the checklist and central line days, using chloroprep in cleaning the central line ports and tubings and the terminal cleaning of the ICU rooms have all contributed to our ZERO CLABSI. Evaluation: The measures instituted contributed to our LEANING to ZERO CLABSI as our rates saw a decline. Results: Our CLABSI rate in 2008 plummeted to 2.4%. In 2009 we had a full year of ZERO CLABSI. We were one of the five hospitals recognized in the New Jersey 2010 Hospital Performance Report for the number of Health Care Acquired Infections for 2009 and published in the Star Ledger January 15, 2011 edition, this year. Recommendations: The initiatives we have put in place have been shared as best practices with our peers in our STOP-BSI collaborative. Lessons Learned: Getting the staff involved in the project, using the problem disciplines as champions to the cause and getting the support of senior management and physicians are all key drivers to success. Bibliography: C:\BSI\Chicago Journals - Infection Control and Hospital Epidemiology.htm Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals - S22 Infection. (2008). Control and Hospital Epidemiology. 29, supplement 1. http://www.chloraprep.com/what-is-chloraprep http://www.ivteam.com/achieving-zero-catheter-related-blood-stream-infections/ http://www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Initiative; CLABSI
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLeaning to Zero Initiative for CLABSIen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203256-
dc.description.abstract(Summer Institute) Problem: In 2007, East Orange General Hospital's Intensive Care Unit had a high CLABSI rate of 5.4% with the national benchmark being 2.1%. In 2008 CLABSI became one of the Never Events by the Center for Medicare and Medicaid Services. Evidence: There was an increase in femoral line insertions from the Emergency Department and 95% of the central lines were inserted by one vascular surgeon. The staff nurses were not consistent in scrubbing the hub of the central line ports and IV tubings. The environment has multiple microorganisms and can be a mode of transmission for microbes. Strategy: The institution joined the state and national STOP-BSI initiatives. The Infection Control Team and ICU team met to develop goals for the project and a project name. The team made recommendations to have an Infection Control device surveillance nurse 7 days a week. Meetings were held involving Emergency medical and nursing leadership to address femoral line insertions. The vascular surgeon who inserted 95% on the central lines was made the physician champion for the initiative. Practice Change: Use of the Central Line Bundle Checklist, using a surveillance nurse monitor compliance of the checklist and central line days, using chloroprep in cleaning the central line ports and tubings and the terminal cleaning of the ICU rooms have all contributed to our ZERO CLABSI. Evaluation: The measures instituted contributed to our LEANING to ZERO CLABSI as our rates saw a decline. Results: Our CLABSI rate in 2008 plummeted to 2.4%. In 2009 we had a full year of ZERO CLABSI. We were one of the five hospitals recognized in the New Jersey 2010 Hospital Performance Report for the number of Health Care Acquired Infections for 2009 and published in the Star Ledger January 15, 2011 edition, this year. Recommendations: The initiatives we have put in place have been shared as best practices with our peers in our STOP-BSI collaborative. Lessons Learned: Getting the staff involved in the project, using the problem disciplines as champions to the cause and getting the support of senior management and physicians are all key drivers to success. Bibliography: C:\BSI\Chicago Journals - Infection Control and Hospital Epidemiology.htm Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals - S22 Infection. (2008). Control and Hospital Epidemiology. 29, supplement 1. http://www.chloraprep.com/what-is-chloraprep http://www.ivteam.com/achieving-zero-catheter-related-blood-stream-infections/ http://www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectInitiativeen_GB
dc.subjectCLABSIen_GB
dc.date.available2012-01-16T11:06:11Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:06:11Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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