Date of Graduation

Fall 12-16-2022

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

Scout E. Hebinck

Abstract

Abstract

Problem: CLABSI is an infection that originates from a central venous catheter. CLABSI leads to prolonged hospital stays with increased cost and mortality. Different strategies are used to prevent CLABSI in Hospital A. Although more CLABSI occurs outside of ICUs, nurses and CNAs in the Medical Surgical units are not required to do Chlorhexidine Gluconate (CHG) bathing daily for central line maintenance in Hospital A. They are not aware of how often and where to apply CHG bathing as well.

Context: The microsystem being addressed by the quality improvement project is an inpatient Medical Surgical unit that serves patients who are hospitalized for illness, surgery, chemotherapy, testing, and observation. The main barrier to applying CHG bathing is a lack of awareness about the necessity, and the knowledge about how often, and where to implement CHG bathing among nurses and certificated nursing assistants (CNAs).

Interventions: This quality improvement project implemented a survey and an educational poster to spread awareness and knowledge of CHG bathing to nurse leaders, nurse educators, nurses, and certificated nursing assistants (CNAs).

Measures: CLABSI rates are used to measure the outcome.

Results: This Quality Improvement project will theoretically decrease CLABSI rates.

Conclusion: Based on our results, we believe it’s theoretical that raising awareness among nursing administrators and implementing education among nurses and certified nursing assistants (CNAs) on Chlorhexidine Gluconate (CHG) bathing daily can overall reduce CLABSI rates.

Keywords: chlorhexidine gluconate, bathing, nurse, CLABSI, quality improvement, education

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