Catheter Care Qi Project
QI Project- Decreasing Infections in Central Lines
Jill Jasinski
UW Eau-Claire
BSN @ Home Program
Executive Summary
One of the most serious complications of central venous access is catheter-related bloodstream infection and is the leading cause of nosocomial infection. The focus of this QI project is to decrease the number of blood stream infections in patients with central lines. Benefits of this project include healthier patients and reduced costs to the patient and hospital. Prevention of catheter-related infection involves several measures which should be used in combination.
The organization in which this QI project is implemented is an outpatient facility dedicated to providing chemotherapy blood and antibiotic infusions. Their mission is to provide patients with compassionates state of art care. These patients are usually being seen for antibiotic or blood administration in outpatient facilities. This organization also offers spiritual and mental health counseling to patients with cancer. The culture and climate for this proposed change is to improve the patient’s outcome for healing and continued care. The data collected for this project was found from guidelines used at other hospitals and evidence-based research reports and journals.
Implementation strategies for decreasing central line-associated bloodstream infections goals focus on the importance of educating all staff and workers that are involved in managing and caring for central lines. Patient and family education is also important, especially for individuals with long term lines at home. The normative re-educative strategy is the change strategy that will be used for this process change. The major change agent for this initiative will be the Nurse Supervisor. The Nurse Supervisor will decrease resistance to change by encouraging group discussions and offering explanations of the intiative. The most important change to this initiative would be to include the use of a
Jill Jasinski
UW Eau-Claire
BSN @ Home Program
Executive Summary
One of the most serious complications of central venous access is catheter-related bloodstream infection and is the leading cause of nosocomial infection. The focus of this QI project is to decrease the number of blood stream infections in patients with central lines. Benefits of this project include healthier patients and reduced costs to the patient and hospital. Prevention of catheter-related infection involves several measures which should be used in combination.
The organization in which this QI project is implemented is an outpatient facility dedicated to providing chemotherapy blood and antibiotic infusions. Their mission is to provide patients with compassionates state of art care. These patients are usually being seen for antibiotic or blood administration in outpatient facilities. This organization also offers spiritual and mental health counseling to patients with cancer. The culture and climate for this proposed change is to improve the patient’s outcome for healing and continued care. The data collected for this project was found from guidelines used at other hospitals and evidence-based research reports and journals.
Implementation strategies for decreasing central line-associated bloodstream infections goals focus on the importance of educating all staff and workers that are involved in managing and caring for central lines. Patient and family education is also important, especially for individuals with long term lines at home. The normative re-educative strategy is the change strategy that will be used for this process change. The major change agent for this initiative will be the Nurse Supervisor. The Nurse Supervisor will decrease resistance to change by encouraging group discussions and offering explanations of the intiative. The most important change to this initiative would be to include the use of a
References: Miller, M.R. (2011). Epidemiology of central line-associated bloodstream infections in the pediatric intensive care unit U.S. Department of Health & Human Services. (2012, January). National guidelines clearinghouse. Retrieved from http://guideline.gov/content.aspx?id=36059