NICU nurses Anna Huzar and Jessica Marchetti review procedures for central line insertion.

In 2019, NICU leaders conducted a root cause analysis for a CLABSI after going 158 days without any instances of a hospital-acquired infection.

While the cause wasn’t clear, leaders identified a potential knowledge gap in relation to the many risk factors associated with obtaining and maintaining vascular access in the neonatal population.

To address this, Julie Cadogan, MSN, RNC-NIC, CNL, now the nursing director, organized an opportunity for NICU nurses and nursing leaders to collaborate with the NICU Vascular Access Team to review data and identify practices that could be optimized.

The group developed a Vascular Access Education Workshop focused on IV site selection and attempt limits, line maintenance best practices, vascular access decision trees, DIVA (difficult intravenous access) algorithms and documentation requirements to decrease CLABSI potentials for the neonates in their care.

In total, 187 nurses attended one of 20 workshops.

A pre- and post-survey confirmed that participants gained the knowledge to successfully implement practice changes. As a result, the CLABSI rate per 1,000 central line days in the NICU decreased from 7.1 in August 2019 to 0 in November 2019, December 2019 and January 2020.

Why it’s Magnet: Magnet designation requires one example of an improved patient outcome associated with knowledge gained from nurses’ participation in a professional development activity as part of the Structural Empowerment component (SE7EO). It’s who we are.

The Vascular Access Work Group included: Tricia Blaine, BSN, RNC, VA-BC; Jessica Marchetti, MSN, RNC, VA-BC; Kristen Robishaw, BSN, RN, RNC, NIC, VA-BC; Krista Kyle, BSN, RN, VA-BC; Nina Hanley, BSN, RN, VA-BC; and Lindsey Murphy, BSN, RN, RNC-NIC, VA-BC.