Documentation is largely different from the time the

documentation is largely different from the time the central line or dressing change is charted this
will indicated improper use of checklist and who is using the checklist incorrectly so the
education may be provided. The second potential barrier is the need for continuous education on
the importance of adhering to the central line bundles as nurses come and go from the unit.
The education will be incorporated into the unit orientation and as part of the annual
competencies check offs. This will ensure that not only new nurses are educated but that all
nurses on the unit receive a refresher each year.
Conclusion
The goal of the change proposal is reach zero CLABSI’s. The implementation of a central
line insertion and maintenance bundle will decrease CLABSI’s by ensuring that everyone is
following the proper technique on insertion and maintenance care of central lines through the
evidence-based bundle (Ling, M. L., et al., 2016). The implementation of a central line
placement and care checklist into the EMR will increase the compliance of the central line
bundle and therefore decrease CLABSI’s ( Wichmann, D ., Campos, B., Ehrhardt, C. E., Kock, S.,

CAPSTONE PROJECT CHANGE PROPOSAL 7
Weber, T., Rohde, C., . . . Stefan , 2018)The implementation of both programs will increase the
hospitals chances to reach the zero CALBSI goal.

CAPSTONE PROJECT CHANGE PROPOSAL 8
References
Atilla, A., Doganay, Z., Celik, H. K., Tomak, L., Gunall, O., & Kilic, S. S., (2016). Central line-
associated bloodstream infection in the intensive care unit: Importance of the care bundle.
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Efficacy of introducing a central line care checklist to reduce central venous line
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