Simulation-Based Central Venous Line Maintenance Bundle Education (CA-BSI)

Children's Healthcare of Atlanta

Status

Completed

Conditions

Central Line Infection

Treatments

Other: Simulation Training

Study type

Observational

Funder types

Other

Identifiers

NCT01960556

CA-BSI and Simulation

Details and patient eligibility

About

Catheter associated blood stream infections (CA-BSI) remain a source of significant morbidity and mortality in adult and pediatric critical care units. While it has been established that CVL maintenance bundles are pivotal to achieving and maintaining low CA-BSI rates, training and retention of proper bundle compliance remains a challenge.

The investigators prospectively compared this simulation-based program to a standard educational approach.

The investigators hypothesized that implementation of bedside simulation-based training of CVL dressing changes by registered nurses would improve CVL maintenance bundle compliance.

Full description

The 2006 NACHRI Quality Transformation Effort demonstrated that additional reduction in pediatric catheter associated blood stream infection (CA-BSI) rates could be achieved through improving compliance with maintenance bundle care for central lines. The investigators objective was to improve maintenance bundle compliance rates and nursing competency surrounding central venous line (CVL) care in their pediatric intensive care unit (PICU).

A multidisciplinary team developed a bedside simulation-based training program to improve compliance with standard PICU CVL maintenance bundle. The investigators then performed a randomized comparison study comparing a standard CVL bundle education process for bedside PICU nurses in a control group (CG) to an intervention group (IG) receiving bedside training to simulate a CVL dressing change and maintenance bundle followed by intermittent educational refresh. Groups were assessed for compliance with prescribed components of the CVL bundle maintenance (CVL score).

CVL scores will be compared between groups

Enrollment

80 patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Any nurse assigned to the PICU on a regular basis was eligible to participate in the study, including full-time, part-time, and occasional (prn) PICU nursing staff, as well as central staffing office (ICU float nurses) and traveler nurses contracted to the PICU for a minimum of 12 weeks

Exclusion criteria

Nurses floating from other units, agency nursing personnel, or traveler nurse contract of < 12 week period were excluded. Nurses on orientation were excluded until completion of introductory 6-month probation period