"It was vital to get C-suite support for this intervention," said Dr. Jorge Parada, MD, MPH, FACP, FIDSA, professor of medicine at Loyola University Chicago Stritch School of Medicine. "By demonstrating that implementing this method to reduce CLABSI would not only yield improved patient outcomes, but also an improved bottom-line, it was a no-brainer for our leadership."
UPMC St. Margaret, Pittsburgh: It's possible to get to zero CLABSIs with basic central line maintenance
After a decision in August 2012 to halt use of the alcohol-impregnated caps previously used on central lines at University of Pittsburgh Medical Center St. Margaret, the 250-bed community hospital saw an increase in the number of CLABSIs occurring. This led the infection prevention team to institute a "back to the basics" approach to the maintenance of central lines.
The team rolled out a variety of educational tools, including videos, talking points, printed pocket cards and postcards, as well as an extensive online manual accessible on the facility's intranet. These tools covered topics such as scrubbing the hub, proper labeling, dressing, and tubing change requirements and techniques.
The toolkit was rolled out in May 2013 and the facility saw zero CLABSIs through November 2013.
"Sometimes people can become a bit too reliant on products, like we were with the alcohol caps," said Jenny Bender, MPH, BSN, RN, CPH, study author and infection preventionist, UPMC St. Margaret, Pittsburgh. "Our staff got so used to having them and letting them do the work for us that we became too relaxed with our good nursing care, when it comes to maintaining a line. As a team, we were able to retrain and re-introduce good practices back into our everyday routine to improve our patient outcomes."
The basic steps of maintaining a safe central line include the following: conduct hand hygiene
|Contact: Liz Garman|
Association for Professionals in Infection Control