Never Declare Victory against CLABSI Logo Abstract At

Never Declare Victory against CLABSI Logo Abstract At JFK we say Never to Declare Victory against CLABSIs. We are exhibiting our highest level of skill to decrease CLABSI rates from insertion of appropriate line to discharge and beyond. Patty Kampf BSN RN CRNI Valarie Goitiandia RN CCRN CRNI Susan Imhoff MSN RN Results • Cost of care ($30, 000 per occurrence) • Mortality associated with CLABSI* (18%) • Increase Length of Stay • Public reporting impacts the hospital’s reputation Blood Culture Draw Video Methods • Established an organizational Goal to eliminate CLABSIs house wide • Evidence based practices • Adapted practices locally • Data driven assessments and action • Simulation • Peer Checking and Peer Coaching • Comprehensive Unit Based Safety Program approach Using Organizational Values Objective • Eliminate CLABSI at JFK • Sustainable unit based ownership for CLABSI prevention • Protect patients from harm associated with CLABSIs • Avoid unnecessary hospital costs • Improve the hospital’s position on Value Based Purchasing and Hospital Acquired Conditions Logo Business Best Human Touch Visionary Spirit • Sustained downward trend in CLABSI occurrences • Decrease in CLABSIs house wide 2012 - 31 CLABSIs 2013 - 11 CLABSIs • Decrease in critical care CLABSIs • Cost avoidance from 2012 – 2013 Best Self Perfect Performance • Evidence based best practices • Cost avoidance $690, 000 (23 CLABSI) • Public reporting (Consumer reports, NPR, Hospital Compare, Leapfrog) • Patient and family education • Promoting a welcoming environment while mentoring new RN’s and coaching staff at the bedside led to increased engagement, knowledge retention, and quality care. • Brainstorming led to innovative ways of improving quality of care • Tool developed for assessing, measuring, and evaluating care and maintenance • Being receptive to the staff nurses’ feedback led to advancing the delivery of care at JFK. • While providing the knowledge and passion for central line nursing care the PICC Team was able to encourage “doing the right thing” for our patients • This past year led to a 75% reduction of CLABSIs • We are exhibiting our highest level of skill to decrease CLABSI rates from insertion of appropriate line to discharge • At JFK we say Never to Declare Victory against CLABSIs. References • Deshpande, K. S. (2003, July). Total parenteral nutrition and infections associated with use of central venous catheters [Guest Editorial]. American Journal Of Critical Care, 12(4), 326 -327. Retrieved from ajcc. aacnjournals. org • Halm, M. , Hickson, T. , Stein, D. , Tanner, M. , & Vande. Graaf, S. (2011, July). Blood cultures and central catheters: Is the “easiest way” best practice? American Journal of Critical Care, 20(4), 335 -338. http: //dx. doi. org/10. 4037/ajcc 2011519 • Health Care Improvement Foundation Delaware Valley Healthcare. (2006). Partnership for patient care: Failure mode and effects analysis central line catheter-related bloodstream infections: Insertion and maintenance practices. Retrieved from The Healthcare Improvement Foundation: http: //www. hcifonline. org/ • Holder, C. , & Zellinger, M. (2012). Daily bathing with chlorhexidine in the icu to prevent central line-associated bloodstream infections. Critical Care Medicine, 40(11). • Infusion nursing standards of practice [Supplemental material]. (2011, January/February). Journal of Infusion Nursing, 34(1 S). • Marsteller, J. A. , Sexton, J. B. , Hsu, Y. , Hsiao, C. , Holzmueller, C. G. , Pronovost, P. J. , & Thompson, D. A. (2012). A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units. Critical Care Medicine, 40(11), 1 -7. http: //dx. doi. org/10. 1097/CCM. 0 b 013 e 31825 fd 4 d 8 • Target. BSI. com (Producer). (2011, May 31 and June 1). Show me the evidence - Should blood cultures be obtained through an intravascular catheter? [Webinar transcript]. Retrieved from http: //Target. BSI. com/

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