Reducing central line-associated bloodstream infection with a dedicated CLABSI prevention registered nurse role - 09/05/24
, Kaia Lindsey, MPH, CIC b, Sara M. Reese, PhD, MPH, CIC, FAPIC b, Linda Paulino, RN, BSN, PCCN a, Lily L. Hernandez, RN, BSN a, Irene Tynes, RN BSN a, Karli Eiseman, RN, BSN a, John Tynes, MD, MBA aRésumé |
Background |
Following a 200% increase in the central line-associated bloodstream infection (CLABSI) standardized infection ratio in a private teaching hospital between 2019 and 2020, a program with the utilization of a CLABSI Prevention Registered Nurse was implemented to reduce CLABSIs through a variety of focused prevention efforts and education.
Methods |
The CLABSI P-RN project consisted of a dedicated team of RNs that performed interventions that included an audit of all central lines daily, real-time education and remediation, bi-weekly educational handouts, and assistance with 2-person dressing changes. Audit data were utilized to identify trends in gaps in compliance with the CLABSI bundle (ie, daily bathing, dressing integrity). The CLABSI rate/1,000 central line days were tracked in preintervention, intervention, and postintervention time periods.
Results |
During the intervention, the CLABSI rate decreased from 1.4 during the preintervention time period, to 0.4 during the intervention time period (P-value .04). Additionally, daily bathing compliance improved from 84.3% during the preintervention time period, to 90.8% during the intervention time period (P-value .004).
Discussion |
The implementation of the CLABSI P-RN was beneficial in reducing CLABSIs.
Conclusions |
An expert-trained role dedicated to central line management reduces CLABSI occurrences, reduces health care costs, and improves patient outcomes.
Le texte complet de cet article est disponible en PDF.Highlights |
• | CLABSI Prevention RN role was associated with a reduction in CLABSI occurrences. |
• | CLABSI bundle compliance increased following the implementation of this role. |
• | A reduction in CLABSIs was observed following a variety of targeted interventions. |
Key Words : Health care–associated infection, Infection prevention
Plan
| Conflicts of interest: None to report. |
Vol 52 - N° 6
P. 659-663 - juin 2024 Retour au numéro
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