SESSION TITLE: Education, Research, and Quality Improvement II
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM
PURPOSE: To decrease the incidence of Central Line Blood Stream Infections (CLABSI) in pediatric patients with pulmonary comorbidities.
METHODS: Our 24 bed pulmonary unit experienced 5 CLABSI's in 14 months with 4 of the 5 occurring in patients with tracheostomy tubes; 3 occurred between 8/1/14 to 1/31/15 (Line Days = 1133). Using quality improvement methodology, a multi-disciplinary team formed in April 2015 to create tests of change to prevent CLABSI; >Education to limit access of central venous lines (CVL) during respiratory aerosol or airway clearance treatments in order to limit possible contribution to CVL bacterial contamination. > Weekly rounds with vascular access RN to compare documentation of dressing with visual observation. >Initiated CVL dressing changes with a 2nd person as a “coach” to maintain sterile procedure. >Developed a tip sheet of “Do’s and Don’ts” for RN's and RT's related to CVL. >A special magnet was placed on the door frame of the patient’s room to identify patients with a CVL.