Introducing a nursing maintenance bundle for patients with pulmonary arterial catheters

2019 ◽  
Vol 41 (1) ◽  
pp. 113-115
Author(s):  
Michael A. Ben-Aderet ◽  
Matthew J. P. Almario ◽  
Meghan S. Madhusudhan ◽  
Carissa Drucker ◽  
Jeffery Luria ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Central Line ◽  
Infection Rates ◽  
Subsequent Reduction ◽  
Improvement Project ◽  
Pulmonary Arterial ◽  
Central Line Infection ◽  
Line Infection

AbstractWe undertook a quality improvement project to address challenges with pulmonary artery catheter (PAC) line maintenance in a setting of low-baseline central-line infection rates. We observed a subsequent reduction in Staphylococcal PAC line infections and a trend toward a reduction in overall PAC infection rates over 1 year.

A quality improvement initiative to reduce central line infection in neonates using checklists

2017 ◽  
Vol 176 (5) ◽  
pp. 639-646 ◽  
Author(s):  
Jacqueline E. Taylor ◽  
Susan J. McDonald ◽  
Arul Earnest ◽  
Jim Buttery ◽  
Bree Fusinato ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Central Line ◽  
Quality Improvement Initiative ◽  
Central Line Infection ◽  
Line Infection

Safety First: An Ambulation Protocol for Patients With Pulmonary Artery Catheters

2021 ◽  
Vol 41 (1) ◽  
pp. 45-52
Author(s):  
Stephanie Sharma ◽  
Ma Andrea Lupera ◽  
Alice Chan ◽  
Michael Nurok ◽  
Lianna Z. Ansryan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Quality Improvement ◽  
Adverse Events ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Improvement Project ◽  
Catheter Migration ◽  
Pulmonary Artery Catheters

Background Patients with indwelling pulmonary artery catheters have historically been excluded from participating in early mobility programs because of the concern for catheter-related complications. However, this practice conflicts with the benefits accrued from early mobilization. Objective The purposes of this quality improvement project were to develop and implement a standardized ambulation protocol for patients with a pulmonary artery catheter in a cardiac surgery intensive care unit and to assess and support safe ambulation practices while preventing adverse events in patients with pulmonary artery catheters. Methods From October 2016 through October 2017, this single-center quality improvement project developed and analyzed the implementation of a safe patient ambulation protocol in the cardiac surgery intensive care unit. Frontline nursing staff and the interdisciplinary team were educated on a standardized protocol that facilitated patient ambulation. Data analyzed included distance of ambulation, catheter migration, presence of cardiac dysrhythmias, and adverse events during ambulation. Results During this 1-year project, 41 patients participated in 94 walks for a total distance of 13 676.38 m. There were no reported episodes of cardiac dysrhythmia, accidental occlusion of the pulmonary artery, catheter migration, or pulmonary artery rupture related to ambulation with a pulmonary artery catheter. Conclusions The use of a standardized ambulation protocol can successfully result in safe mobilization of patients with indwelling pulmonary artery catheters.

scholarly journals Reduced central line infection rates in children with leukemia following caregiver training

Medicine ◽  
2016 ◽  
Vol 95 (25) ◽  
pp. e3946 ◽  
Author(s):  
Andrea Lo Vecchio ◽  
Joshua K. Schaffzin ◽  
Eliana Ruberto ◽  
Maria Angela Caiazzo ◽  
Loredana Saggiomo ◽  
...  
Keyword(s):  
Central Line ◽  
Caregiver Training ◽  
Infection Rates ◽  
Central Line Infection ◽  
Line Infection

scholarly journals Primary mural infective endocarditis with associated central line infection

2018 ◽  
Vol 11 (1) ◽  
pp. e227504 ◽  
Author(s):  
Yashwant Agrawal ◽  
Rachel Dada ◽  
Jafar Dada ◽  
Michelle Degregorio
Keyword(s):  
Infective Endocarditis ◽  
Central Line ◽  
Central Line Infection ◽  
Line Infection

scholarly journals Implementation of a Quality Improvement Role for Unlicensed Assistive Personnel and Effects on Infection Prevention

2021 ◽  
Vol 1 (S1) ◽  
pp. s73-s74
Author(s):  
Natalie Schnell ◽  
Lauren DiBiase ◽  
Amy Selimos ◽  
Lisa Stancill ◽  
Shelley Summerlin-Long ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Patient Care ◽  
Patient Outcomes ◽  
Infection Prevention ◽  
Central Line ◽  
Direct Patient Care ◽  
Evidence Based ◽  
Infection Rates ◽  
Process Measure

Background: Care bundles comprise evidence-based practices and interventions that are easily and consistently implemented while improving patient outcomes. As patient acuity and task overload continue to increase, infection prevention bundle and process measure compliance and data collection may become a lower priority for registered nurses (RNs). In early 2019, a certified nursing assistant (CNA) began full-time quality liaison work on a 53-bed inpatient adult oncology unit at UNC Medical Center to provide targeted compliance data collection and to correct deficits in real time when possible and within the appropriate scope of practice. Methods: The quality liaison CNA is highly motivated, with a relevant clinical background and effective communication skills. After conducting a gap analysis, the unit developed specific responsibilities for several areas of quality improvement, including infection prevention. In addition to rounding on all patients daily, the quality liaison (1) performs direct patient care tasks like Foley catheter care, (2) conducts patient education on topics such as chlorhexidine gluconate treatments, (3) performs all relevant process measure audits, and (4) easily relays missed or needed care to RNs with a door sign created as part of this initiative. High-risk findings, such as a loose central-line dressing, prompt immediate communication to the RN, with follow-up and escalation when necessary. Results: Patients and staff received the quality liaison well, and the increased attention to care bundle components and auditing ensured consistent, evidence-based care along with accurate and reliable data collection. Compared to the previous calendar year, the number of central-line audits on the unit increased by >1,400 by the end of 2019. Patient outcomes improved, and during 1 fiscal year, the unit achieved rate reductions between 40% and 55% for central-line–associated bloodstream infections, catheter-associated urinary tract infections, and healthcare-associated C. difficile infections. Staffing and logistical challenges imposed by the COVID-19 global pandemic have hampered this work because the quality liaison was redeployed to direct patient care intermittently. Correspondingly, from July to October 2020, the same infection rates increased between 30% and 353%. Conclusions: Having a designated quality liaison is an effective means to achieving quality improvements while remaining an integral member of the patient care team. As staffing has improved on this unit, the quality liaison has refocused efforts, and infection rates are beginning to improve. Given the success of the quality liaison role in improving quality outcomes on this unit, the hospital is exploring expansion of this model to additional units.Funding: NoDisclosures: None

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