Reducing CLABSI: A Focus on Nursing Care and Maintenance
The reduction of Central Line-Associated Blood Stream Infection (CLABSI) rates is a priority in healthcare. CLABSI rates in our burn ICU had been at or below the expected National Health and Safety Network (NHSN) rate from 2009 through 2nd quarter 2013. However, rates were above the expected NHSN benchmark in 3rd and 4th quarter, 2013. There is a gap in the literature related to compliance with nursing standards of care and maintenance. In our unit 85% of the CLABSI occurred more than 5 days post insertion, indicating that quality improvement should focus on the care and maintenance, rather than insertion practices. The purpose of this project is to review nursing adherence to standards of care in our unit.