CRBSI
Power Hour Breakout
MiKaela Olsen, DNP, APRN-CNS, AOCNS, FAAN
Clinical Nurse Specialist, APRN-CNS
Johns Hopkins Hospital
Nothing to Disclose
Matthew Morris, DNP, RN, NEA-BC
Director of Nursing for Surgery, PM&R, Vascular Access
The Johns Hopkins Hospital
Nothing to Disclose
Prevention of insertion and maintenance related CLABSIs in high risk cardiac surgery ICU patients is a complex undertaking. OR insertion related factors can lead to CLABSIs even days after transfer to the ICU and central line catheter maintenance is challenging factors such as bleeding risk and fluid accumulation. Communication between the OR and ICU staff is essential. A partnership formed with university biomedical engineering students provided an outside perspective and bridged the gap between these areas. Students attended educational sessions focused on types of devices and the essential insertion and maintenance bundle components necessary for the prevention of CLABSIs. Two groups completed observations in the OR and ICU using detailed audit tools. Each group was paired with RN and infection experts. Although these students did not have medical training, their unique perspective led to valuable observations. Staff openly discussed concerns, barriers, and frustrations with students which enhanced understanding of the problem and sparked ideas for innovations. An evidence-based action plan was developed which included process measures and goals.