Best Practices for CLABSI Prevention in Texas Regional Hospitals
This presentation outlines the insertion and maintenance bundle elements for central line-associated bloodstream infection (CLABSI) prevention in Texas regional hospitals, including hand hygiene, sterile procedures, dressing maintenance, and data collection methods. Improvement strategies such as operational leadership, education programs for nurses, and increased staff engagement are also highlighted.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Texas Regional Template: CLABSI Workgroup Organization: Texas Children s Hospital 1
The Texas Regional Hospitals Baylor Scott & White McLane Children s Medical Center Children s Health, Children s Medical Center Children s Memorial Hermann Hospital Cook Children s Medical Center Covenant Children s Dell Children s Medical Center of Central Texas Driscoll Children s Hospital Medical City Children s Hospital Texas Children s Hospital (Houston) The Children s Hospital of San Antonio 2
Insertion Bundle Elements Hand Hygiene prior to insertion Individuals actively participating wear mask, cap, sterile gown and gloves Patient covered with head to toe drape Sterile dressing applied after insertion CHG prep unless contraindicated Checklist completed by observer in real time 3
Maintenance Bundle Elements Line necessity Dressing clean, dry and intact Dressing labeled and dated Hand hygiene with all line entries Clean gloves with all entries 15/15 scrub with all entries 15/15 scrub with each disconnection Tubing labeled with date hung and day to change Appropriate process followed for tubing and dressing change 4
CLABSI Data Collection Methods Insertion Collected by direct observation Maintenance Collected by direct observation Collected Central Line Resource Nurse 450 observations /month 5
Improvement Strategies CL Operational Leadership CLABSI HAC Team Resource RN Central Line Champions System Education 7
Improvement Strategies Educated over 2300 RN s Precursor to inception of CL champion program Didactic instruction Skills validation and check-off stations Module and video technology as adjunct teaching tools Policies and procedures review and revisions Increased staff engagement, awareness, and comfort level 8
Improvement Strategies Over 200 central line champions across the system Serves as department level subject matter experts Performs monthly direct observations Assists in patient and staff educational efforts Partners with UEC s to validate and check-off skills Attends monthly meetings Serves as s succession planning strategy for the CLRN role 9
Improvement Strategies Implemented in critical areas (NICU, HemeOnc, and BMT) Dedicated unit resource Performs high risk technical skills (declotting agents, pull lines) Assists with central line maintenance tasks (cap changes, etc.) Provides and develop comprehensive patient education Assists with staff education and skills validation efforts Serves as the catheter maintenance subject matter expert Assists with policies and procedures revisions and review Partners with CS and UEC s with product selection and trials 10
CLABSI Rate 11
CLABSI Best Practice Recommendations Consider conducting hands on skills validation Observation, observation, observation Ensure standardization of practice Consider central line resource nurse role as a unit based subject matter expert 12
CLABSI Requests for Assistance Elaine Whaley Director Quality & Safety emwhaley@texaschildrens.org Katie Basta Assistant Director Quality & Safety kchengst@texaschildrens.org 13
QUESTIONS? 14
