Date of Graduation

Winter 12-16-2016

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Abstract

Chlorhexidine gluconate (CHG) daily bathing in hospitalized patients in the intensive care setting is one of many interventions implemented by institutions to reduce and prevent central line associated bloodstream infections (CLABSIs) and catheter associated urinary tract infections (CAUTIs). These hospital-acquired infections (HAIs) plague and complicate treatments for critically ill patients in the acute care setting. CLABSIs and CAUTIs increase patient morbidity and mortality as well as place a financial burden with increased costs and hospital lengths of stay. The decrease of CHG compliance in our ICU unit can be associated with an elevated CLABSI rates. The focus of this CNL project is to increase our unit’s CHG compliance to reduce our unit’s CLABSI and maintain a zero CAUTI rate. The project looks at examining staff knowledge, beliefs, and barriers in current CHG practice. With the use of Rosswurm and Larrabee’s model of change, the project addresses these issues in process improvement to increase CHG compliance. Education, increased communication and awareness, and review of documentation in our electronic health record all contributed in our improvement implementation. CHG compliance was increased from 56% to 76% during the implementation period, with no CLABSI and CAUTI infections reported during the same evaluation period.

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