capstone 1 and 2 and 3 final revised.docx - Central Line Associated Bloodstream Infections Central Line Associated Bloodstream Infections Kelly Osborne

capstone 1 and 2 and 3 final revised.docx - Central Line...

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Central Line Associated Bloodstream Infections 1 Central Line Associated Bloodstream Infections Kelly Osborne Southern New Hampshire University
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Central Line Associated Bloodstream Infections 2 Problem Statement and Justification The topic I have chosen for my capstone change project proposal, that has been relevant throughout my nursing career, is central line associated bloodstream infections (CLASBI). My change proposal is to implement the use of disinfecting caps and port protectors instead of alcohol swabs on all needleless connectors on central lines in order to significantly reduce the amount of central line associated bloodstream infections in patients. I selected this issue because I have seen CLASBIs do massive damage where I work and, in a few instances, lead to intubation and even death. I feel strongly that this is a major issue in our community and with modifications and prevention we can significantly lower the rate of CLASBIs. A central line associated bloodstream infection is a type of healthcare associated infections, also known as HAI, are defined as, “a preventable infection that patients contract while receiving treatment for medical or surgical conditions” (HealthyPeople.gov, 2014). These infections can and have been associated with devices such as peripheral IVs and central lines. HAIs such as CLASBIs can occur in every type of care settings including ambulatory surgical centers, acute care hospitals, outpatient care, dialysis facilities, and even long-term facilities (HealthyPeople.gov, 2014). While eliminating healthcare associated infections worldwide would be an extremely difficult task, reduction in the amount of CLASBIs however, can easily be reduced through thorough education provided to staff as well as implementing the appropriate interventions to our patients. The specific change theory that will assist me throughout this project is Lewin’s Theory of Change. “This theory is a three-step model that is highlighted throughout nursing literature as a framework for bedside care transformation” (Wojciechowski, Pearsall, Murphy, & French, 2016). The structure behind this theory is that change takes place over three different stages known as unfreezing, moving, and refreezing. Lewin’s Change Theory applies in the prevention
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Central Line Associated Bloodstream Infections 3 of CLASBIs by unfreezing, moving, and refreezing. For the “unfreezing stage” of this project, we will identify those directly affected by this change as well as factors that will be affected or have a direct impact on this project (Sutherland, 2013). For this project, this will include providers and patients as well as forces such as interventions that are currently being done to prevent healthcare associated infections. Adjustments in any interventions or policies that are already set in place will be addressed in this stage through voicing of concerns of current stakeholders. The second stage, moving, involves the actual change in practice by equalizing opposing forces (Sutherland, 2013). In this stage we will implement interventions to accomplish
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  • Summer '18
  • Nosocomial infection, Staphylococcus aureus, Clostridium difficile

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