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What is CLABSI and why does it matter

Love our Lines!: Nursing education and competency surrounding central line maintenance Lauren Salinas MSN, RN, CCRN, CNL Sebastian Tume, MD. What is CLABSI and why does it matter. Attributable cost of CLABSI in pediatric patient is ~$55,646 with associated LOS of 19 days.

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What is CLABSI and why does it matter

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  1. Love our Lines!: Nursing education and competency surrounding central line maintenanceLauren Salinas MSN, RN, CCRN, CNLSebastian Tume, MD

  2. What is CLABSI and why does it matter Attributable cost of CLABSI in pediatric patient is ~$55,646 with associated LOS of 19 days.

  3. Journey of a patient with Congenital Heart Disease • Complex congenital heart disease patients often cross numerous hospital systems • Fetal cardiac intervention • PFW or NICU CICU • CICU CVOR • CVOR CICU • CICU CPCU • CPCU Home

  4. Exponential Growth of the Heart Center

  5. Unit Growth Matched by CVL Utilization 760

  6. Background • Texas Children’s Hospital Cardiac Intensive Care Unit • 33 beds 48 Cardiac ICU patient beds • 100 CICU nurses  200 CICU nurses • Recent growth in space and staffing numbers

  7. Central Line-Associated Bloodstream Infections • The root of the problem! • Access? • Site care? • Education? • Our strategies to reducing CLABSIs • Awareness • Memorable educational takeaways • “The patient story”

  8. “Love our Lines” Methods Part 1- Rolling Simulation Scrub the hub • Why are we scrubbing the hub of the needleless connector? • Are we actually doing it? Baseline compliance 30%

  9. “Love our Lines” Part 1- Rolling Simulation

  10. “Love our Lines” Part 2 - Education

  11. Presence and Engagement “Love our Lines”

  12. Results

  13. Results • 177/189 (94%) nurses underwent education and competency sessions • Post-implementation bedside scrubbing compliance: • 80% at one week • 85% at one month • 90% at six months • 97% at one year

  14. Results- Impacting CLABSI • Over the course of 18 months, CLABSI rates fell over 50% • Awareness • Accountability • Consistent & impactful communication • Real-time multidisciplinary involvement

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