Reducing Central Line Associated Bloodstream Infections (CLABSI) in UHRBC: Getting Back to Basics
Kimberly Vozar BSN, RN VA-BC, Pediatric Vascular Access Team, Theresa Smith BSN, RN, UHRBC Quality Improvement, Rainbow Babies and Children's Hospital, Cleveland
In 2016 RBC experienced a significant increase in CLABSI rate in the inpatient population, from 0.86 per 1000 line days to 1.47, and nearly doubled CLABSI events from 13 to 25. To drive improvement, a collaborative team including infection control, central line, and quality experts formed a taskforce to review the data to identify gaps and opportunities in CLABSI prevention processes. This deep dive uncovered the need to refocus efforts on the basic CLABSI prevention maintenance bundle, hand hygiene, patient hygiene, and environmental cleanliness. Interventions to drive improvement in each of these categories were identified, tested, and implemented.
A goal was set for a reduction in CLABSI rate by 25% by March 31, 2017, and an overall reduction of 40% by December 31, 2017. Focus on back to basics, known as the Clean Campaign, paired with high reliability organization (HRO) principals, resulted in achievement of these goals.
To view the complete poster and read how CareAline sleeves and wraps were involved with the project, please click HERE.
That’s a Wrap: Preventing Central Venous Catheter Replacements in Pediatric Oncology Patients
Nancy Tena, MSN, RN, CNS-BC, CPHON, BMTCN and Elizabeth Duffy, DNP, RN, CPNP, C.S. Mott Children's Hospital, University of Michigan
The utilization of a CVC is the standard of care in pediatric oncology. Children under four are at risk for breaking their CVCline due to their developmental stage. Central venous catheter breakage predisposes a child to the risk of CLABSI. Utilization of the CVC line wrap/sleeve has demonstrated a decrease in CVC breakages in pediatric oncology patients less than four years of age.
Pre-intervention:(January 2014 – October 31, 2015)
9 pediatric oncology patients under four years of age required line replacements.
44% (n=4) of these patients required CVC line replacement due to breakage.
Post-intervention: (November 2015 – May 31, 2018)
19 pediatric oncology patients under four years of age required line replacements.
16%(n=3) of these patients required line replacement due to breakage.
Other reasons for CVC replacements included infection and line clotting/malfunction.
The Children’s Hospital of Colorado carried out a proof-of-concept analysis within the Center for Cancer and Blood Disorders (CCBD), based on the Anschutz Medical Campus.
A comparative analysis of CareAline® Central Line Wraps and PICC Line Sleeves were carried out in a cohort of patients aged between 4 months and 9 years of age. Outcomes included number of line breaks and number of line defects, however accidental line removals went from 23% to 0% for patients while wearing a CareAline® product.
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