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Education, Research, and Quality Improvement: Education, Research, and Quality Improvement II |

RN/RT Partnership to Prevent Central Line Blood Stream Infections (CLABSI)

Laura Miske, MSN; Michele Vizy, MEd; Beth Ely, PhD
Author and Funding Information

Childrens Hospital of Philadelphia, Philadelphia, PA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):620A. doi:10.1016/j.chest.2016.08.712
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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.

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