Clinical Guidelines
It is indicated that CLABSI is a major concern in the current times when it comes to intensive care unit. It is through this that high costs are suffered in healthcare considering the fact that medical resources are always limited. This has also led to high mortality and morbidity rates in the population. It is because of these worsening trends that efforts to eliminate CLABSI have become a national concern where a number of studies have been carried out (Ledbetter & Stevens, 2013). It is through these studies that it has been revealed that knowledge available to health care providers is very important in all efforts that are being made to aid in elimination of CLABSI. Education and training programs are thus very important in a clinical step up and analysis of the information and methods used is very important in this case.
Literature appraisal of evidence on the research topic of central line associated bloodstream infections will be subjected to a clinical protocol which will make use of five steps. 1. The healthcare management will carry out an assessment of the patient records to decide what might be not be working as required and the information that is known about this menace. This will involve looking into the medical interventions that are currently used which might be exposing the patients to these infections to decide what might have gone wrong (Ahems, 2015).
- The management will seek details of the resources that are available to decide whether they are good or not. This will give attention to medical equipments and drugs that are available and being used. This will give details of whether the available resources have worked in the past and the probable changes that can be made to improve the situation.
- The third step will be the planning stage where the information available will be used to bring change after it is confirmed that this information is important and relevant. It is here that the management will set out ways in which changes will be implemented and more important the training session for the nurses.
- All relevant data will be collected and other relevant personnel will be allowed to assist to bring about the change indicated.
Implementation
It is after planning and collecting the important data that intervention phase will be attained where the revised protocol will be implemented in a clinical set up to allow for real change to be implemented. The implementation will commence with training of nurses where weekly classes will be introduced to make sure that every staff gets a chance to attend the classes despite other roles that they are entitled to on daily basis. The training will start with the management where the managers will be trained first after which they will take up the role of training their juniors. The training for the managers will take place for one month starting on January. It is after this training that the managers will start training juniors starting February for a period of two months. It is expected that by end of March, every staff member will have taken the entire classes that will be introduced.
It is after this training that the managers will have to evaluate the results by assessing and documenting new cases that are reported considering the fact that the staff handling the patient was initially trained. The managers will be meeting once after two months to discuss the results and giving suggestions of what should be done to improve on the overall compliance reported. Common barriers in these efforts will include negligence of some staff members to these new introductions and the classes. Some will not be serious with the training and will attend the classes for the sake of it. The management will offer incentives in terms of prizes to those who will be determined to be devoted to this classes and the change they will portray thereafter.
References:
Ahems, T. (2015). Evidenced-Based practice: Priorities and Implementation strategies. AACN
Clinical Issues. 16(1), 36-42
Ledbetter, C.A, & Stevens, K.R. (2013). Basics of Evidence-Based Practice, Seminars in
Perioperative Nursing 9 (3) 91-97
Merrill, K., C., Summer, S., Linford, L., Taylor, C., & Macintosh, C., (2014). Impact of
universal disinfectant cap implementation on central line-associated bloodstream infections. American Journal of Infection Control. 42(2014) 1274-7. http://dx.doi.org/10.1016/j_ajic.2014.09.008
