CLABSI Prevention Model

In 2013, a magnet recognized hospital, Baptist Health Lexington, reduced CAUTI rates in ICU patients by 60% (Roser, Piercy & Altpeter, 2014). The study included six interventions that were followed by the staff in the effort to reduce CAUTI. The six interventions included: “communication of CAUTI data to interdisciplinary teams, a nurse-driven, physician approved protocol, problem analysis using Lean principles, daily unit-based surveillance rounds, silver alloy urinary catheters, and an antimicrobial bundle comprised of two cleansing products for patients with an indwelling urinary catheter” (Roser, Piercy & Altpeter, 2014). The nurse-physician protocol allowed for nurses to assess whether the catheter was still necessary and if found not to be, the nurse could discontinue it. This resulted in a 58% decrease in the number of catheters used (Roser, Piercy & Altpeter, 2014). An education session was implemented by nurses using principles from the Lean system that checked the capability of nurses to understand just how dangerous CAUTI can be. It was found that no single intervention alone could reduce the occurrence of CAUTI development. Nurses must integrate several interventions to have an effective result at lowering the rates. However, this particular study found that after the use of the antimicrobial bundle, rates of CAUTI did decline. Roser et al. (2014) emphasized that education and awareness of

One of the ways to combat the incidence of Central Line Associated Bloodstream Infection (CLABSI) is by following the proper steps in Central Line Dressing changes. The topic you picked is an important one, both for patients and our overall health care system as well. If nurses will learn, and follow the proper manner in the way Central Venous Lines should be changed it can have a positive outcome for patients. CLABSI can be fatal to the patient, this can devastate the patient's family as well. “Although a 46% decrease in CLABSIs has occurred in hospitals across the U.S. from 2008-2013, an estimated 30,100 central line-associated bloodstream infections (CLABSI) still occur in intensive care units and wards of U.S. acute care facilities each

The ICUs are associated with over 15 million catheter days while there is indication that only 24.4% of CVC use occurs outside the ICUs (Chopra, Krein, Olmsted, Safdar & Saint, 2013). This implies that millions of patients in the ICUs are at a high likelihood of developing CLABSI

As the CEO of a hospital with the highest Central-Line Associated Blood Stream Infections (CLABSI), I am approaching the problem from an evidence-based standpoint. My first step is to engage each team member, especially senior leadership, and ensure that everyone is on board to reduce CLABSI occurrences. In a formal, mandatory meeting, I am giving all staff members a detailed overview of the plan as well as an achievable goal for the upcoming fiscal year. While outlining my expectations, I will welcome the infection control team to discuss successful evidence-based strategies and practices.

For instance, there are many different types of infections that occur in the intensive care unit (ICU), as well as various methods of prevention that patients, visitors, providers, and other hospital staff can practice. Of the many different types of infections that occur in these critically ill patients, catheter-associated urinary tract infections (CAUTIs) and central line-associated bloodstream infections (CLABSIs) are two of the most serious infections, and they also happen to be the most

There is an abundance of information identifying central line acquired bloodstream infection (CLABSI) as a serious adverse event during hospitalization resulting in increased morbidity, mortality, and health care cost. Present data from research indicates that CLABSI is the second most avoidable cause of death during hospitalization (Shah, Schwartz, & Cullen, 2016). The above concepts that CLABSI is preventable yet it continues to yield a yearly cost of 2.3 billion dollars and remains a quality metric for national offices such as Joint Commission indicates a foundation for research (Son et al., 2012). Upon the literature review, CLABSI rates were significantly reduced when specific techniques were implemented. Furthermore, all the articles

CLABSI have serious consequences, impacting the patient in a variety of ways, including increased mortality, suffering, and increased length of hospitalization. Joint Commission’s national safety goals for 2016 complements IOM’s aims to provide safe care. Joint Commissions goal NPSG.07.04.01 to implement evidence-based practices to prevent CLABSI (Joint

First, the article provides a short explanation regarding central line associated bloodstream infections (CLABSI) and CLABSI related deaths that occur annually in the US. A national campaign, ‘On the CUSP,’ is briefly discussed. This was a collaborative cohort study of 1,071 adult intensive care units (ICUs) in 44 states, Puerto Rico, and Washington D.C. Their goal was to evaluate the impact of the ‘On the CUSP’ campaign in relation to CLASI reduction. Extensive education and training was provided prior and during the intervention. The multi-level Poisson regression model showed CLABSIs dropped from 1.96 to 1.15 per 1,000 line-days, a 43% decrease. Limitations included: this was not a randomized controlled trial (RCT), lack of resources to validate CLABSI data or collect intervention compliance data. However, the study indicates CLABSIs are preventable with standardized nursing interventions, which improves patient outcomes.

The study intervention focuses on using the CHG dressings for coverage of the CVCs insertion site to lower the risk of developing CLABSIs in a long-term acute care hospital (LTACH) patients. In the comparison group, the standard film dressing is used. The CVC dressings will be changed every week on Saturdays by the trained staff nurses. Assessing the CVC for any sign and symptom of the infections will be completed on every shift and documented every shift in the tally sheet.

The prevention and elimination of CLABSI in hospitals, specially in critical care units, have being a problem for many years. New research and strategies have been performed, however, CLABSI rates have remained at unacceptable levels. The purpose of this research is to demonstrate that the use of an antimicrobial PICC will decrease the incidence of PICC-associated CLABSI rate for the acute and critical care environments of hospitals. On 2014, “The Influence of an Antimicrobial Peripherally Inserted Central Catheter on Central Line-Associated Bloodstream Infections in a Hospital Environment” by Glenell S. Rutkoff, MSN, RN, CGRN, was published on JAVA on 2014.

Raad et al. (1994) found in a randomised trial that CLABSIs were 6.3 times higher in a control group then those who had their CVC inserted under maximal barrier precautions (consisting of mask, cap, sterile gloves, gown, large drape). These findings were replicated by Abi‐Said et al. (1999) who also found that if strict aseptic techniques were adhered too during dressing changes, in addition to close monitoring of patients there was a decrease in bloodstream infection rates.

Hospital acquired infections are responsible for more than 90,000 death in the United States (Fox, 2015). Some of these infections include catheter-associated urinary tract infection, central-line associated bloodstream, and ventilator-associated pneumonia. These infections mostly affect those patients with an already compromised immune system (Fox, 2015). Therefore, it is the healthcare provider’s responsibility as well as the patients to prevent spreading of these infections by taking the necessary steps like performing hand hygiene. In a study performed by Fox (2015), nurses taking care of patients in the intensive care unit were asked to wipe the patient’s hands with a 2% chlorhexidine gluconate disinfectant wipe. This product provides

The topics discussed in the brochure was the main challenge faced by people of the community when ill and taking to the hospital. Most nurses will fail to perform hand hygiene in carrying out procedures like indwelling catheter, wound dressing and so on thereby introducing and adding to the problems of the patients by bringing in pathogens. Health care associated infections (HAIs) are a major patient safety issue, resulting in a significant level of morbidity and mortality in the United States each year (Allen, G., 2015, Pg

An intervention was done in a surgical intensive care unit to reduce the incidence of central line-associated bloodstream infections. The method of intervention was to create and utilize central line insertion and maintenance bundles. The hope, was that if all of the supplies needed were bundled together, then clinicians would use them appropriately. The maintenance kit included hand hygiene, catheter site dressing, hub care, and a daily review of the necessity of the line. The hub care consisted of 70% alcohol. Creation of the bundles, and training on how to use them, was done through the nurses and doctors on staff. There were regular in services held where nurses would teach how to utilize the kits. These

Bloodstream infections are a common outcome of patients with a central line and are known to be a cause of mortality in hospitals. There are a multitude of risk factors that can contribute to a central line-associated bloodstream infection (CLABSI). This can include, but are not limited to, intrinsic factors that are not controllable by healthcare team members, such as a patient’s age, underlying diseases or conditions, and patients’ gender. There are also extrinsic factors that are within the control of healthcare members, such as prolonged hospitalization before for central line insertion, nutrition, location of site, multilumen lines, deficiency of sterile barriers for central line insertion and effective cleaning of ports (The Joint Commission,