Date of Graduation

Fall 12-15-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Carla S. Martin, RN, MSN, CNL, CIC


The objectives for this CNL Internship Project were to: (1) identify the strongest contributors to the rising trend of Clostridium difficile cases on this medical-surgical unit, (2) review all Clostridium difficile cases for correlational factors that are of significant relevance, (3) examine current unit practices and adherence to established policies, and (4) provide recommendations for enhancing existing prevention strategies. The population examined included male adults between 56-83 years old being treated for other medical conditions. The methods used to address this clinical issue included a joint venture between nursing and housekeeping staff to ensure proper terminal cleaning and a renewed emphasis on infection control practices. For this project, a Clostridium difficile monitoring sheet (see Appendix D) was designed for staff to implement the appropriate precautions and cleaning procedures. The data collected will be the monitoring sheets turned in by the staff as well as the ongoing review of any active cases of Clostridium difficile. The project will be launched starting December 2017 and continue for 6 months to allow time for the impact of these changes. The plan will be sustained by the unit’s Infection Control Officer working with the Nurse Manager to ensure continued compliance with the recommended interventions.