Topic 6 DQ 3

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Please respond with a paragraph to the following question, add citations and references:

For my capstone I choose CLABSI prevention in ICU, providing best and safe care is my top priority. About 41,000 blood stream infections is caused each year by central line contamination (Schech, Hefner, Robbins, Harrison & Garmen, 2015). This type of infection is preventable and should never occur to patients. There are many ways to help prevent CLABSI’s, this includes following sterile central line insertions and applying strict guidelines for line maintenance afterwards. When staff follow and apply EBP the goal of eliminating CLABSI can be met.

One mechanism that I plan to develop is a specific central line check list for staff to follow. The checklist will entail what actions to take before, during and after an insertion of a central line. I will also develop educational tools for nurses to use such as the central line bundle kit. Adherence to best practices is important for CLABSI prevention. Its critical that nurses learn to assess, reassess and evaluate the use of and the need for central lines. After starting this capstone project, I realize that change takes time and I also recognize that changing practices can create resistance. However, the goal is to have zero infections to improve patient outcomes.

Reference:

Schech McAlearney, A., Hefner, J., Robbins, J., Harrison, M. J. & Garmen, A. (2015). Preventing central line-associated blood stream infections: A qualitative study of management practices. Infection Control and Hospital Epidemiology, 36(5), 557-563. doi: 10.1017/ice.2015.27


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