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Implementing Strategies To Reduce Central Line-Associated Blood Stream Infections On An Inpatient Pediatric Unit, Sherryann St. Pierre, Nicole Manchester, Jessica Howe, Melanie Lord, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Barbara Bush Children's Hospital

Operations Transformation

STRATEGIES TO REDUCE CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS

Every central line associated bloodstream infection (CLABSI) leads to poor outcomes, increased mortality and increased healthcare costs. A pediatric care team in an academic tertiary medical center set a goal to reduce the number of these infections on their unit.

The team’s research showed that daily bathing greatly decreases CLABSI. Their baseline metrics demonstrated an unacceptable level of those with central lines being bathed. A root cause analysis revealed that patient and family refusal was the leading cause for those who did not bathe.

A performance improvement plan was initiated that consisted …

A Comparison Of Two Bathing Methods : Effects On The Haemodynamic And Subjective Responses Of Low Risk Patients Within 48 Hours Post Myocardial Infarction, Heather M. Kidd

Theses: Doctorates and Masters

The purpose of this within subject experimental study was to determine what effect showering by nurses, as compared to bed bathing patients, has on the haemodynamic and subjective responses of low risk patients within 48 hours of having a myocardial infarction. The sample consisted of 50 patients, 8 female and 42 male, with a mean age of 61 years (SD = 10). Twenty-five were randomly assigned to a bed bath, then a shower over 2 consecutive days and the other 25 to the reverse order. The haemodynamic responses consisted of heart rate, rate pressure product (RPP), blood pressure, cardiac rhythm, …