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The Line Snuggler: A Central Line Bundling Innovation Evaluated in a High-Risk Pediatric Population

Marybeth Tetlow1, Deborah Allen1, Angel Barnes2

  • 1Duke University Health System, Durham, NC, USA.

Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses
|September 21, 2020
PubMed

Insights

A nurse-invented Line Snuggler device effectively protected central lines in pediatric patients, showing no increased bacterial growth. Both healthcare staff and parents reported high satisfaction with this innovative product.

Area of Science:

  • Pediatric Nursing
  • Infection Control
  • Medical Device Innovation

Background:

  • Central line-associated blood stream infections (CLABSIs) are a significant concern in pediatric intensive care and bone marrow transplant units.
  • Preventing contamination and entanglement of intravenous (IV) tubing and central lines is crucial for patient safety.
  • Existing strategies often address traditional childhood activities and intensive care unit (ICU) or bone marrow transplant (BMT) unit adverse events.

Purpose of the Study:

  • To evaluate a novel nurse-invented product, the Line Snuggler, designed to protect central lines and IV tubing.
  • To assess the safety of the Line Snuggler regarding bacterial growth.
  • To determine user satisfaction and perceived utility of the Line Snuggler among healthcare staff, parents, and guardians.

Main Methods:

  • A pre-post intervention design was used with 30 pediatric patients undergoing chemotherapy post-transplant.
  • Each patient served as their own control, with bacterial levels tested during a control phase (Days 1-3 without Line Snuggler) and an intervention phase (Days 4-6 with Line Snuggler).
  • Bacterial levels were measured using adenosine triphosphate (ATP) assays on product and sheets. Staff (n=44) and parents/guardians (n=25) completed satisfaction surveys.

Main Results:

  • Adenosine triphosphate (ATP) levels showed no significant difference in bacterial growth between the Line Snuggler and patient sheets, indicating no increased risk.
  • Healthcare staff and parents/guardians reported high satisfaction with the Line Snuggler.
  • Users perceived the product as beneficial for protecting and organizing IV lines.

Conclusions:

  • The Line Snuggler is a safe and effective innovative product for protecting pediatric central lines and IV tubing.
  • The device demonstrates potential in reducing hospital-acquired complications by preventing contamination and entanglement.
  • High user satisfaction suggests the Line Snuggler can be successfully integrated into clinical practice to enhance patient care quality.

Keywords:
bone marrow transplantcentral venous access deviceinfectioninventionspediatric

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