Date of Graduation
Summer 8-11-2026
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
Kaiser cohort MSN capstone
First Advisor
David Ainsworth
Second Advisor
Sarah Horton-Deutsch, Ph.D, RN, FAAN,ANEF
Abstract
Abstract
Problem: Inconsistent IV tubing labeling compliance on a telemetry unit was identified as a gap in central line maintenance practices that could affect adherence to the CLABSI prevention bundle.
Intervention: A quality improvement project reinforced existing IV tubing labeling practices through a visual job aid, staff education, and peer verification during Nursing Knowledge Exchange (NKE) bedside handoff.
Outcome Measure: The primary outcome measure was IV tubing labeling compliance, with a goal of increasing compliance from 86.5% to at least 95% on 24 bed Telemetry unit.
Results: The project did not achieve the desired improvement in compliance. Multiple concurrent quality initiatives, CMS-related action plans, competing organizational priorities, staff burnout, and change fatigue likely limited successful implementation.
Conclusion: Although the desired outcomes were not achieved, the project identified important barriers to practice change and reinforced the importance of organizational readiness, leadership support, and sustained staff engagement when implementing quality improvement initiatives to strengthen CLABSI prevention efforts.
Keywords: CLABSI, central line maintenance, IV tubing labeling, quality improvement, patient safety, Nursing Knowledge Exchange (NKE), evidence-based practice.
Recommended Citation
Vang, See Elizabeth, "Sustaining CLABSI Prevention Through Central line Bundle Compliance: A Focus on IV Tubing Labeling, Visual Cues and Peer Support" (2026). Master's Projects and Capstones. 2029.
https://repository.usfca.edu/capstone/2029
