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Updated: Jan 8, 2026
A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Fostering an interdisciplinary culture of collaborative discussion to prevent central line-associated bloodstream
Ada J Baklouti1, Andrew Catanzaro2, Norton Elson3
1Infection Prevention and Control Department, Adventist Healthcare, White Oak Medical Center, Silver Spring, MD.
Background:
Few studies describe quantitative thresholds for daily device review that attempt to drive a decrease in device utilization (DU) for central venous catheter devices. Increased DU in the period spanning March 2020 through December 2021 paralleled an increased incidence of central line-associated bloodstream infections (CLABSI) within a Medical Surgical Intensive Care Unit (ICU) of an acute care hospital. An intervention tool was developed to foster targeted discussions around DU to ultimately reduce the risk of CLABSI.
Methods:
An evidence-based performance improvement initiative was implemented in March 2022 which included the deployment of an ICU Rounding Checklist tool to drive ICU intensivist signature sign-off of standardized device indications in collaboration with ICU nurses.
Results:
Significantly fewer central venous catheters were present in ICU patients following implementation of the intervention, χ2(1) = 7.06, P < .01. Concurrently, zero CLABSI events were encountered during the 32-month intervention evaluation period.
Conclusions:
In addition to evidence-based bundle compliance elements and leadership visibility of device de-escalation opportunities, hospitals should optimize methods to encourage collaborative discussions between nurses and physicians to impact central venous catheter utilization, reducing the risk of CLABSIs.
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