Many small tests of change occurred and learnings were shared with staff. Managers and supervisors began daily audits starting in March 2017 through June 2017. Other efforts also accomplished that month: Teams standardized their template to include daily central line checks so that the provider could consider changing to a peripheral line. Fausto Meza, led the effort to change practice. Elimination of lab draws from central lines.Sarah Legendre, BSN, RN, clinical manager Mercedes Doolitte-Kovar, MSN, RN, CCRN-K, clinical educator and RN Shift Supervisors Rebecca Ford, BSN, RN, Tracey Velasquez, BSN, RN, Chris McIver, BSN, RN,CCRN, and Liana Green, BSN, RN, led real time “bundle sessions” sharing information on the new central line care practices with all ICU and IMC staff during all shifts.Mikki Clements and ICU Director, Keith Fitzgerald, RN, led “Scrub the Hub” re-focus training for staff.The team began engaging staff via email communications and staff meetings.After completing the audit and reviewing existing practices, the team began identifying the “bundle” of best central line practices. Maintenance of the central line. Finally, the team asked whether nursing could improve its practices to care for the central lines and hub to ensure a higher level of safety.Specimen collection techniques. The team investigated whether there was any association with false positive results when collecting lab draws from the central line and whether the team could eliminate lab draws from the central line.The team asked if the patient needed a central line or PICC for the entire length of stay or if a change to a peripheral line would be a better choice because of a lower risk of complications. One of the first steps taken by the team was daily audits of patients with central lines. These audits helped identify several risk factors contributing to the CLASBI incidents at Ascension Seton Medical Center Hays.ĭuring the audits, the team asked the following questions: Several nurses played a critical role in the team, including Sarah Legendre, BSN, RN, clinical manager, ICU Mikki Clements, quality Keith Fitzgerald, MBA, BSN, RNC-OB, ICU director, and Fannie Suarez, BSN, RN, CIC, infection prevention.
#Ascension seton hays hospital series
Ascension Seton Medical Center Hays established an interdisciplinary team to evaluate CLASBI incidents utilizing the AIM4 Excellence process improvement model and created a series of evidence-based prevention strategies.
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