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A Nurse-Driven Port Access Algorithm to Reduce Central Line-Associated Bloodstream Infections
Kelsey Miller1, Amanda S Hart2
1Kelsey Miller.
Clinical Journal of Oncology Nursing
|April 8, 2026
Summary
A nurse-driven algorithm was created to reduce central line-associated bloodstream infections (CLABSIs) linked to port access. This initiative aimed to improve clinical decisions and patient safety by standardizing port access protocols.
Area of Science:
- Medical Science
- Clinical Nursing
- Infection Control
Background:
- Rising rates of port-related central line-associated bloodstream infections (CLABSIs) pose a significant clinical challenge.
- The need for standardized, evidence-based protocols for managing central venous access devices (CVADs) is critical.
Purpose of the Study:
- To develop and implement a nurse-driven algorithm for central venous access device (port) management.
- To enhance clinical decision-making and reduce the incidence of CLABSIs.
Main Methods:
- A clinical nurse specialist-led team designed a novel algorithm for port access.
- The algorithm provided structured guidance for nurses to support clinical decision-making during port access procedures.
Main Results:
- Implementation of the nurse-driven algorithm led to a reduction in port-related CLABSIs.
- Improved adherence to best practices for port access was observed post-implementation.
Conclusions:
- A nurse-driven algorithm is an effective tool for standardizing port access and reducing CLABSIs.
- Empowering nurses with evidence-based algorithms improves patient safety and clinical outcomes in managing CVADs.
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