Date on Paper

8-2019

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Celeste Shawler

Committee Member

Beverly Williams-Coleman

Author's Keywords

Keywords: central venous catheter, infection, chlorhexidine gluconate, pediatric, education, nursing

Abstract

The use of Central Venous Catheters (CVCs) in the healthcare setting is essential to patient survivability. While convenient, the utilization of such devices places patients at risk for Central Line- Associated Bloodstream Infections (CLABSI). The US spends nearly $2 billion dollars annually treating CLABSIs. The utilization of CLABSI bundles has shown to be effective in infection prevention. Daily bathing with Chlorhexidine Gluconate (CHG) is recommended by the Centers for Disease Control and Prevention (CDC) and is often included in CLABSI bundles. In an attempt to reduce the incidence of CLABSIs at a metropolitan pediatric hospital in the Southern US, a nurse driven quality improvement (QI) initiative is being proposed. The proposed QI initiative will target pediatric hematology/oncology nurses and will consist of a 15-minute educational session regarding CHG bathing. A pretest/posttest design combined with retrospective chart reviews will be utilized. A hopeful increase in daily bathing compliance rates with a subsequent reduction in the occurrence of CLABSIs will be a direct result of the QI initiative.

Included in

Nursing Commons

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