Date of Award

Fall 2020

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Cathy Hughes

Committee Chair School

Professional Nursing Practice

Committee Member 2

Dr. Marti Jordan

Committee Member 2 School

Leadership and Advanced Nursing Practice

Committee Member 3

Dr. Steven Stogner

Abstract

Healthcare-associated infections are not a new concept in health care. Many different health-care-associated infections have been established over the years including but not limited to healthcare-associated pneumonia, catheter-associated urinary tract infection, and central line-associated bacterial infection. While these infections are common in healthcare facilities, the rates of these infections are still prevalent in hospitals across the United States. This DNP project focused on central line-associated bacterial infections.

An interdisciplinary team checklist to assess readiness for appropriate medical removal of central venous catheter (CVC) was developed to assess intensive care unit patients for early appropriate medical CVC removal. The interdisciplinary team consisted of the project director, Critical Care Medical Director, and ICU Nurse Manager. The checklist was utilized for four weeks in the adult intensive care unit. At the end of the four weeks, the results indicated that the checklist helped identify patients eligible for early CVC removal through medical indications to continue or discontinue the CVC and the interdisciplinary team members were assessed for their satisfaction with the checklist.

The project was completed for a total of 20 days. During the four weeks, 874 total patients were encountered on daily rounding. Of those 874 total patients, only 289 had a CVC line placed. The total number of CVCs with indications to keep the line was 231 and the total number of CVCs without indications to keep the line was 58. The interdisciplinary team survey revealed that 100% of the team members were satisfied with the checklist, ease of use of the checklist, ability to identify patients for early removal and would implement the checklist into the unit’s day to day procedures.

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