{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:36:13Z","timestamp":1791531373562,"version":"4.3.4"},"reference-count":27,"publisher":"AACN Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Despite implementation of central catheter bundles, central line [catheter]\u2013associated bloodstream infections (CLABSIs) remain a preventable hospital-acquired infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Local Problem<\/jats:title>\n                  <jats:p>A new population of patients with pulmonary artery catheters was introduced to the cardiac progressive care unit, increasing central catheter days, device use, and CLABSI rate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A quality improvement project was conducted. Nursing staff implemented a standardized central catheter rounding process 3 days a week to critically assess all central catheter dressings, deter-mine the necessity of each central catheter, and educate patients on the importance of keeping central catheter dressings clean, dry, and intact. Data were collected during central catheter rounds for each patient, entered in an electronic survey tool via mobile devices, and analyzed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From July 2019 through June 2022, a total of 2692 rounds were conducted for 707 individual patients with 3064 central catheters. Main interventions were dressing management, monitoring insertion site bleeding that extended beyond edges of the chlorhexidine gluconate pad, treating patients\u2019 allergies to products, and maintaining sustainability within the unit. Central catheter rounds decreased the CLABSI rate from 1.86 to 0.0 despite the continued increase in central catheter days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Central catheter dressing assessment, intervention, and education help reduce CLABSIs. Central catheter rounds are an important adjunct to the CLABSI bundle. A central catheter dressing management algorithm helps nurses decide when to change a dressing and which type of dressing to use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2024493","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:04:01Z","timestamp":1722470641000},"page":"27-36","source":"Crossref","is-referenced-by-count":6,"title":["Reducing Central Line\u2013Associated Bloodstream Infections With a Multipronged Nurse-Driven Approach"],"prefix":"10.4037","volume":"44","author":[{"given":"Linda M.","family":"Hoke","sequence":"first","affiliation":[{"name":"Linda M. Hoke is a unit-based clinical nurse specialist and serves on the cardiac progressive care unit\u2019s nurse leadership team at the Hospital of the University of Pennsylvania, Philadelphia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gracy C.","family":"Mathen","sequence":"additional","affiliation":[{"name":"Gracy C. Mathen is a nurse educator on the cardiac progressive care unit at the Hospital of the University of Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Beckett","sequence":"additional","affiliation":[{"name":"Ellen Beckett is a clinical nurse on the cardiac progressive care unit at the Hospital of the University of Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2024080100022093600_b1-0440027","unstructured":"National Healthcare Safety Network\n          . Bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection). In: National Healthcare Safety Network (NHSN) Patient Safety Component Manual. National Healthcare Safety Network, Centers for Disease Control and Prevention; 2023:chap 4. 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