When CLABSI rates in intensive care units increased at the end of 2018, the CLABSI Prevention Task Force, co-chaired by Maria Bentain-Melanson, DNP, RN, nursing director of Shapiro 6 and 7, developed a plan to eliminate these infections, including:
- Identifying inconsistent use of the central line insertion checklist as an area for improvement and conducting a best-practice literature review.
- Developing a process to ensure a dedicated, trained observer (a patient care associate) was available for every central line insertion to ensure checklist compliance.
- Creating a checklist tool for observers to complete and for the task force to review to determine additional opportunities for improvement.
Bentain-Melanson worked with Allison Webster, DNP, RN, nursing director of the Float Pool, and Professional Development Managers Carol Daddio Pierce, MSN, RN, CCRN, and Karen Morth, MSN, RN, CCRN-CSC, to develop and implement observer training sessions in the Neil and Elise Wallace STRATUS Center for Medical Simulation.
As a result of these efforts, the CLABSI rate per 1,000 central line days in the ICUs decreased from 1.66 (October – December 2018) to 0.82 (July – September 2019); and from 1.42 (October – December 2019) to 0.93 (January – March 2020).
Why it’s Magnet: Magnet designation requires one example of an improved patient outcome associated with a nurse director’s membership in an organization-level decision-making group as part of the Transformational Leadership component (TL5EO). It’s who we are.