Shaukat Khanum Memorial Cancer Hospital Lahore Pakistan
Title: Reducing Central line associated Blood stream Infections at Cardiac Intensive Care Unit: Quality Initiative
Awais Jamil is currently working as Clinical Nurse Manager at Shaukat Khanum Memorial Cancer Hospital Lahore Pakistan.
Introduction: Central line associated blood stream infections (CLABSI) are the most common complication of central catheters in Cardiac surgery patients. If it occurs it can cause increase length of stay, financially overburdened and influence on mortality and morbidities was.
Objective(s): To initiate quality project in Cardiac intensive care unit to reduce the incidences of central line associated blood stream infection.
Design: Combined Cohort Study to implement and evaluate intervention to improve patient safety.
Settings: Cardiac Intensive Care Unit Aga Khan University Hospital Karachi.
Methodology: Identification of infection control link nurses (ICLN) and their training. Educational sessions for staff in collaboration with infection control nurse, based on the “My 5 Moments for Hand Hygiene” approach, and the correct procedures for hand rubbing and hand washing, to all health-care workers. Secondly we prohibited overcrowding in patient area and reinforce cardiothoracic team to do morning round outside patient bed site area to eradicate infection. Start awareness sessions and reinforce health care and patient care attendant adding 2% CHLOEHEXIDINE and alcohol swabs in each patient bin and we also encourage the visitors how to attend the patient and importance of hand hygiene. We follow contact precautions on infected patients by attendant.
Results: Quarterly monitor central line blood associated infection rate as per 1103 central line catheter days during the sustainability period 22 weeks after intervention period and we achieved 22 week silver Award from infection control department
Conclusion: To decrease the incidence of blood stream infection accomplished in 9 months post implementation phase and this clinical practice was sustained to maintain this results. This will also impact on the morbidity and reduce the cost rate which will be more beneficial for the patients as well as organizations.