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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
[The effect of bundle care on central line associated bloodstream infection in a medical intensive care unit]
Ya-Wen Sung1, Min-Jung Huang1, Chin-Yi Chou1
1Department of Nursing and Medical Intensive Care Unit, Kaohsiung Medical University Hospital, Taiwan, ROC.
Background & Problems:
While the central line catheter is a common device used in intensive medical care, it is a frequent source of nosocomial infection. The central line associated bloodstream infection (CLABSI) rate at our medical ICU had increased steadily, with an average rate between January and May 2011 of .47%. We used a cross-team approach to implement bundle care as a strategy to reduce the CLABSI rate.
Purpose:
We designed a project to reduce the CLABSI rate below .3% in our ICU.
Resolution:
This project was conducted between June 2011 and May 2012. Our strategy included providing a sterile towel, implementing maximal barrier precautions (head to toe), designing an illustration explaining how to use 2% CHG, establishing a procedures and care checklist, implementing quality assurance for procedures and care, and providing education on bundle care.
Results:
The CLABSI rate reduced to .24% after project implementation. This result was below the target of .30%.
Conclusions:
We want to share this experience to help other hospitals and units improve critical care quality and to continue working to achieve a zero-tolerance infection rate.
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