{Reference Type}: Journal Article
{Title}: Reducing central line-associated bloodstream infection with a dedicated CLABSI prevention registered nurse role.
{Author}: Star KE;Lindsey K;Reese SM;Paulino L;Hernandez LL;Tynes I;Eiseman K;Tynes J;
{Journal}: Am J Infect Control
{Volume}: 52
{Issue}: 6
{Year}: 2024 Jun 6
{Factor}: 4.303
{DOI}: 10.1016/j.ajic.2023.11.021
{Abstract}: <B>BACKGROUND: </B>Following a 200% increase in the central line-associated bloodstream infection (CLABSI) standardized infection ratio in a private teaching hospital between 2019 and 2020, a program with the utilization of a CLABSI Prevention Registered Nurse was implemented to reduce CLABSIs through a variety of focused prevention efforts and education.<BR><B>METHODS: </B>The CLABSI P-RN project consisted of a dedicated team of RNs that performed interventions that included an audit of all central lines daily, real-time education and remediation, bi-weekly educational handouts, and assistance with 2-person dressing changes. Audit data were utilized to identify trends in gaps in compliance with the CLABSI bundle (ie, daily bathing, dressing integrity). The CLABSI rate/1,000 central line days were tracked in preintervention, intervention, and postintervention time periods.<BR><B>RESULTS: </B>During the intervention, the CLABSI rate decreased from 1.4 during the preintervention time period, to 0.4 during the intervention time period (P-value .04). Additionally, daily bathing compliance improved from 84.3% during the preintervention time period, to 90.8% during the intervention time period (P-value .004).<BR><B>CONCLUSIONS: </B>The implementation of the CLABSI P-RN was beneficial in reducing CLABSIs.<BR><B>CONCLUSIONS: </B>An expert-trained role dedicated to central line management reduces CLABSI occurrences, reduces health care costs, and improves patient outcomes.