NGN Case Study 2: Practice Change 100% Pass

NGN Case Study 2: Practice Change 100% Pass Select the four recommended evidenced-based practices to prevent central line-associated blood stream infections (CLABSI). 1)Apply appropriate skin antiseptic. 2) Wash hands with soap and water or an alcohol-based hand rub before and after touching the line. 3) Ensure the skin prep has completely dried before the central line is inserted. 4) Use sterile barrier precautions. For each recommendation in the left column, click to specify if it demonstrates an action to increase or decrease CLABSI. Increase: Immediately have clients replace dressings that are wet, soiled, or dislodged. Change administration sets for continuous infusions no more frequently than every 2 days, but at least every 10 days. Decrease: Learn about CLABSI rates in the hospital. Speak up about any concerns so that healthcare providers are reminded to follow the best infection prevention practices. Perform routine dressing changes using aseptic technique with sterile gloves. The multidisciplinary project team has reviewed the current policy and procedure manual and compared the document to the evidence-based guideline recommendations from the Centers for Disease Control and Prevention (CDC). The policy and procedure notes: - Ineffective health maintenance -insufficient -three It has been determined that a change in policy associated with central line insertion and maintenance is needed to reflect current research findings. The clinical unit nurse educator (project lead) will meet with the nursing administration to determine the appropriateness and feasibility of translating recommendations from the project team. - Policy and procedures - Research findings - Action plan recommendations For each potential nursing action, identify if it is indicated or contraindicated in implementing practice change. Indicated: 1)Provide staff education about new central line policies and procedures and central line insertion-associated bloodstream prevention practices. 2)Educate staff members on the central line insertion practices, adherence monitoring program, and use of monitoring tools. 3)Encourage staff members to speak up about any concerns so that healthcare personnel are reminded to follow the best infection prevention practices. Contraindicated: 1)Redirect questions about hospital policies and procedures to the hospital administrative team 2) Communicate expectations that family members will not be permitted to visit to prevent central line-associated bloodstream infections. For each outcome in the left column, click to specify if the finding indicates the intensive care unit met or did not meet the expected outcomes. Met: 1) 100% unit compliance with self-study on ways to prevent CLABSI 2) 100% participation in use of the Central Line Insertion Practices (CLIP) Adherence Monitoring for clients with central lines in the intensive care unit Not Met: 1) CLABSI rate is 4% after adopting the new routine dressing change policy 2) 50% unit compliance of family members performing hand hygiene prior to entering a room