A Review of Intervention Efficacy on Central line Associated Bloodstream Infections
Disciplines
Other Nursing
Abstract (300 words maximum)
Background: Central line-associated bloodstream infections (CLABSIs) are hospital-acquired infections that are prevalent in hospital settings. They can lead to an increase in mortality, morbidity, length of stays, and hospital bills. CLABSIs can be prevented, and this project helps guide the answer to which interventions are the most effective in reducing CLABSI rates and how increased nurse education can improve these interventions. Brief Literature Review: Many types of studies relating to the interventions were reviewed. These studies allowed a comparison of interventions to see which are the most efficient. The studies also showed how routine education and increased compliance with these interventions reduce the rates of CLABSIs. Based on the literature, antimicrobial hubs are the most efficient at reducing CLABSIs. Methods: Nurses will receive education on CLABSI prevention, hub utilization, risk factors, and signs/symptoms. Nurses will be given a pre-assessment quiz to determine knowledge prior to implementation and they will also be given one after implementation. Nurses will be reminded through posters and huddles and staff will be given hands-on education at the end of huddles and will be allowed to experiment with the caps. Also, caps will be stocked in all rooms for easy access and signs will be placed in rooms for nurses as a reminder. Nurses will also be required to fill out a checklist to ensure the hubs are on before they leave the room. Evaluation: Project effectiveness will be assessed by evaluation of pre- and post-implementation quiz scores and randomized compliance checks for central line patients. Additionally, a retrospective chart review will be performed, analyzing CLABSI rates 6 months prior to implementation. This will be compared to post-intervention CLABSI rates at 3 and 6 months of implementation. Finally, I will conduct a nurse assessment to determine reports of compliance and satisfaction.
Academic department under which the project should be listed
Wellstar School of Nursing
Primary Investigator (PI) Name
Christie Emerson
Additional Faculty
Felicia Lanier, Nursing, flanier1@kennesaw.edu
A Review of Intervention Efficacy on Central line Associated Bloodstream Infections
Background: Central line-associated bloodstream infections (CLABSIs) are hospital-acquired infections that are prevalent in hospital settings. They can lead to an increase in mortality, morbidity, length of stays, and hospital bills. CLABSIs can be prevented, and this project helps guide the answer to which interventions are the most effective in reducing CLABSI rates and how increased nurse education can improve these interventions. Brief Literature Review: Many types of studies relating to the interventions were reviewed. These studies allowed a comparison of interventions to see which are the most efficient. The studies also showed how routine education and increased compliance with these interventions reduce the rates of CLABSIs. Based on the literature, antimicrobial hubs are the most efficient at reducing CLABSIs. Methods: Nurses will receive education on CLABSI prevention, hub utilization, risk factors, and signs/symptoms. Nurses will be given a pre-assessment quiz to determine knowledge prior to implementation and they will also be given one after implementation. Nurses will be reminded through posters and huddles and staff will be given hands-on education at the end of huddles and will be allowed to experiment with the caps. Also, caps will be stocked in all rooms for easy access and signs will be placed in rooms for nurses as a reminder. Nurses will also be required to fill out a checklist to ensure the hubs are on before they leave the room. Evaluation: Project effectiveness will be assessed by evaluation of pre- and post-implementation quiz scores and randomized compliance checks for central line patients. Additionally, a retrospective chart review will be performed, analyzing CLABSI rates 6 months prior to implementation. This will be compared to post-intervention CLABSI rates at 3 and 6 months of implementation. Finally, I will conduct a nurse assessment to determine reports of compliance and satisfaction.