At Seton Health where I am Nurse Manager we have had a total of 1446 line days from Jan.2009 through Jan.2010 There have been a total of two central line infections with in this time frame but, we have not had a central line infection in the past eight months. I as nurse manger lead our team. There is a sub committee for the prevention of catheter related blood stream infections. This consists of critical care staff members. They mentor fellow coworkers on prevention and also they have branched out through other units within the facility to educate nurse on prevention of BSI. I as manager do daily rounds at least twice daily checking for line necessity and dressing. I review this with staff when rounding. Central line need and use is also discussed daily with the pulmonologists. At 10am is our daily rounds with the intradiciplinary team. All invasive lines are reviewed with the infection control nurse. She is immediately notified of any new invasive line. A insertion check list is done when ever a line is inserted. A record is kept in a binder for reference kept on the unit. A copy is give to the infection prevention nurse. She callculates our central line days and determines are infection rate. Research is done for current evidenced based practice to further protect our patient from harm.Data collected for central line infections and bundel compliance is presented to leadership through our clinical excellence committee. In adition to compling with the bundel elements a site rite is used for insertion, pressureized ports are used and we have disconntinued the use of heparin for flushes. We have implemented the use of effectiv cap for needless valves. these caps are saturated with alcohol and placed on all unused ports. We are constantly doing research and education and we are very happy to be a part of this project.
Mary Anne Clow
Nurse Manager
Critical Care
Seton Health Hospital St.Mary's
NY
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