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AVA 25th Annual Scientific Meeting, October 3 – 6, 2011
 

AVA 25th Annual Scientific Meeting, October 3 – 6, 2011

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A Process Improvement Approach to the Elimination of Central Line Associated Bloodstream Infections – Podium Presentation

A Process Improvement Approach to the Elimination of Central Line Associated Bloodstream Infections – Podium Presentation

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    AVA 25th Annual Scientific Meeting, October 3 – 6, 2011 AVA 25th Annual Scientific Meeting, October 3 – 6, 2011 Presentation Transcript

    • A Process Improvement Approach to the Elimination of Central Line Associated Bloodstream Infections Donna Matocha BSN, RN, CNRN Rush-Copley Medical Center Aurora, Illinois
    • Financial Disclosures
      • No financial disclosures to report
    • Background
      • The Institute for Healthcare Improvement’s Central Line Bundle was implemented in our intensive care unit at Rush-Copley Medical Center
      • Goal of zero not obtained
      • Quality collaborative established in 2008
      • IV Therapy Coordinator/Nurse Educator and Infection Control
    • Practice Audit Outcomes
      • Inconsistent practice was noted
      • Dressing labels were absent
      • Multiple dressing changes were necessary due to poor dressing adhesive
      • CHG impregnated patch was placed upside down 75% of the time
      • Improper training for negative pressure valve caused clotted lines
      • Breaks in aseptic technique identified
    • Action Items
      • Literature review
      • Policies and protocols revised
      • Product assessment
      • Education with audits & reinforcement
      • Collaboration with Intervention Radiology, Shared Governance & Discharge Planning
    • Changes Implemented
      • Aseptic technique training initiated
      • Layered kits were designed with improved transparent dressing.
      • 3.15% Chlorhexidine gluconate/70% isopropyl alcohol solution implemented for skin prep and dressing changes (2009)
      • Chlorhexidine impregnated patch placed during line placement
      • Negative pressure ports re-established
    • Results
      • Central line associated infections per 1000 catheter line days:
      • July 2007-June 2008: 1.27 infections
      • July 2008-June 2009: 0.51 infections
      • July 2009-June 2010: 0.45 infections
      • July 2010-June 2011: 0.00 (no infections)
    • Conclusions
      • Practice protocols must be followed at all times
      • Layered kit design increases aseptic technique compliance
      • Efficacious products play an important part in getting to zero
      • Process changes can be important parts of the puzzle.
    • Implications
      • Collaboration & Commitment are important
      • Improve Outcomes
      • Reduce Costs
      • Achieve Zero Central Line Associated Bloodstream Infections