Central Line Infection Clinical Trial
Official title:
Simulation-Based Pediatric Intensive Care Unit Central Venous Line Maintenance Bundle Education
Catheter associated blood stream infections (CA-BSI) remain a source of significant
morbidity and mortality in adult and pediatric critical care units. While it has been
established that CVL maintenance bundles are pivotal to achieving and maintaining low CA-BSI
rates, training and retention of proper bundle compliance remains a challenge.
The investigators prospectively compared this simulation-based program to a standard
educational approach.
The investigators hypothesized that implementation of bedside simulation-based training of
CVL dressing changes by registered nurses would improve CVL maintenance bundle compliance.
The 2006 NACHRI Quality Transformation Effort demonstrated that additional reduction in
pediatric catheter associated blood stream infection (CA-BSI) rates could be achieved
through improving compliance with maintenance bundle care for central lines. The
investigators objective was to improve maintenance bundle compliance rates and nursing
competency surrounding central venous line (CVL) care in their pediatric intensive care unit
(PICU).
A multidisciplinary team developed a bedside simulation-based training program to improve
compliance with standard PICU CVL maintenance bundle. The investigators then performed a
randomized comparison study comparing a standard CVL bundle education process for bedside
PICU nurses in a control group (CG) to an intervention group (IG) receiving bedside training
to simulate a CVL dressing change and maintenance bundle followed by intermittent
educational refresh. Groups were assessed for compliance with prescribed components of the
CVL bundle maintenance (CVL score).
CVL scores will be compared between groups
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