| Sumario: | Background: The med-surg oncology unit historically had a high proportion of central lines. In 2010 the unit had the most central line infections in the facility. An observational review of the existing line practice revealed gaps between evidence based practice and bedside practice. Purpose: The intent of the project was to use evidence based practice and teaching strategies to optimize the staff's engagement in order to reduce the amount of central line infections. Project: A staged plan to implement change using caring curriculum principles was developed. Caring curriculums use role modeling and caring about those you teach. Using this as a starting point, a unit champion was developed. Staff participated in an online learning module. Lines were rounded on weekly and interventions with the staff were tailored. Education was continuous and staff provided feedback regarding barriers. The next stage involved the patient's in their line care. Patients were screened utilizing a screening tool. If the patient was appropriate they were given hand sanitizer and education. Patients that were not candidates for hand sanitizer were given education alone. In addition to the above there were also system wide initiatives that were implemented including policy changes to reflect evidencebased practice. Results: The unit went from having the highest infection rate to having a rate of zero. The unit has maintained a rate of zero central line infections since implementation in February of 2011. Implications: Tailoring interventions and using caring curriculum model when providing education along with involving patients in their line care may be the key to achieving the goal of zero central line infections. Conclusion: Using staged implementation of interventions, caring curriculum framework, and patient involvement the goal of achieving zero central line infections can be achieved. You can go to http://www.avainfo.org/posters to view this poster.
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