Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

7-13-2023

Graduate Advisor

Elise Schaller, DNP, MHA, APRN, CPNP-PC

Co-Advisor

Roxanne Reid, DNP, MSNEd, RN

Committee

Megan Kruse, MSN, CPNP, RN

Abstract

Problem: The patient’s daily central line Theraworx baths were not being documented and completed at a mid-Missouri teaching hospital. After completing a retrospective chart review for 2022, 8.35% (n=90) of daily central line Theraworx baths were documented. Daily central line baths decrease central line-associated bloodstream infections (CLABSI), prolonged hospital stays, and costs.

Methods: The quality improvement (QI) project utilized a pilot retrospective and prospective pre-post-design. A retrospective chart review on daily central line Theraworx baths was conducted on patients two years and older within the pediatric service line who had a central line. A situation, background, assessment, and recommendation (SBAR) sheet was created and filled out by the nursing staff daily. Data collected during the QI project was the daily central line baths SBAR sheet marked as completed or not completed, the type of bath, and the number of CLABSIs within the pediatric service line.

Results: The pediatric service line had 46.19 % (n=103) of daily central line Theraworx baths documented out of 223 central line days. The SBAR sheet improved daily central line Theraworx baths in patients two years and older by 453.17%, showing clinical significance. A statistically significant (P

Implications for Practice: Utilizing a daily central line Theraworx bath reminder within the pediatric service line could continue to increase the completion and documentation rates of Theraworx baths and decrease CLABSI rates.

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Additional Files

Enzwiler Jordan FINAL CSP Poster 7_13_23.pptx (439 kB)

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