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Category: Change

Presenting Change

            We did not get any responses to our surveys from our infographic. This may have been that the infographics were put in a place with not much traffic, or that the nurses were too busy. When considering a potential employer, I would want them to know that I am willing to contribute to quality improvement and evidence-based practice initiatives. I would discuss my background with the CLABSI project and how I would advocate for ways to help prevent CLABSI’s on the floor. 

 I learned a lot about how patients contract CLABSI’s, which most often happens when the hub of the central line is not cleaned properly. Time is often a factor that prevents central line hubs from being cleaned properly.  I also learned that some floors and hospitals may not have the correct supplies (chlorohexidine or alcohol wipes) to clean central line hubs properly, which I had not thought of prior to doing this project. I also learned how it is important to make sure you are not leaving any materials on the bed when cleaning a central line hub such as the alcohol caps, or the wipes and packaging as these could get lost in the patients bedding and/or cause an abrasion. 

            Our team process throughout this project went smoothly overall. We were able to complete all our work on time and were able to split up the responsibilities of the work evenly. We did most of our project during our in-person time and if we didn’t finish any of if, we would put the assignment on a google doc and work together on it. This worked out well, if we had any questions, or wanted to edit any part of the work. One thing I learned about myself as a team member is that I like to work with others and working with a team helps me be more productive. 

Proposing Change

Since we identified our topic of preventing CLABSI’s we have learned a lot about CLABSI rates in the hospital and why and how they occur. The literature review did not really change any assumptions I had about the topic but gave me a better insight into why CLABSI’s occur so frequently. We did need to make our topic more specific at the beginning of this process as we started out with the broad idea of CLABSI prevention but narrowed it more specifically to “scrubbing the hub”. One finding that I had not previously thought about was access to supplies. One of the studies mentioned how some units did not have enough alcohol or chlorohexidine wipes which are used to clean the caps to central lines.

            Since reviewing the statistics in the literature and seeing nurses on the floor not always “scrub the hub” I will always think about CLABSI prevention when going into practice. I know that I will always be busy but taking a minute to “scrub the hub” will be beneficial to my patients in the long run, and result in better health outcomes for them.  I will also try to remember to carry alcohol wipes in my pockets so I can be efficient when doing central line care for the patient. 

            One thing our team has been successful with is organization and getting our work completed before the due date. We have also been successful with distributing our work evenly and working together to get the project done. Our team process usually included sharing a google doc where we could all work on parts of the section of the project due each week at our own pace, and before the due date we would go over it to see if any edits needed to be made. We would also use class time to make any revisions if we had already finished the majority of the section that was due for that week. I think this process has worked well so far, and the amount of work has been distributed fairly. 

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