Date of Graduation

Fall 8-20-2022

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Cynthia Huff

Second Advisor

Susan Mortell

Abstract

Problem: Failure to adhere to the CLABSI prevention bundle leads to central line infections that can be harmful to patients. There is currently no sufficient way of monitoring for adherence to the CLABSI prevention bundle.

Context: The population most affected by lack of adherence to the CLABSI prevention bundle is the pediatric oncology population, specifically patients with the presence of a central venous access device.

Intervention: The intervention in the implementation of a CLABSI audit tool. The audit tool would be used daily for every patient with a central venous access device to assess for adherence to the CLABSI prevention bundle and identify opportunities for improvement.

Measure: Outcome: Improved adherence to the CLABSI prevention bundle increased to 75% or higher and new CLABSI reduced to zero.

Process: The number of patients with central lines, the number of audits completed, the number of audits meeting all CLABSI prevention bundle criteria

Balancing: The percent of improvement post intervention

Result: Implementing the CLABSI bundle audit tool has resulted in improved adherence to the CLABSI prevention bundle. As a direct result of adherence to the CLABSI prevention bundle there has been a decrease in the number of new CLABSI infections documented.

Conclusion: The implementation of a CLABSI audit tool has increased adherence to the CLABSI prevention bundle by 40% and resulted in zero new CLABSI infections during the observation period.

Keywords: CLABSI, prevention, pediatric, oncology, bundle, and adherence

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