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Decreasing Central Line–Associated Bloodstream Infections in the Non-ICU Population

Medina, Alma MSN, RN; Serratt, Teresa PhD, RN; Pelter, Michele PhD, RN; Brancamp, Tami PhD, CCC-SLP

doi: 10.1097/NCQ.0000000000000034

Central line–associated bloodstream infection (CLABSI) rates above the national average precipitated a quality improvement project aimed at reducing this trend. We implemented daily chlorhexidine bathing and used 4 strategies to promote a change in practice and culture in our medical/surgical units. These strategies include the following: (1) staff education, (2) leadership support, (3) resource availability, and (4) increased awareness and accountability. Since implementing these strategies, there has been a significant reduction in CLABSI rates in the medical/surgical units.

Telemetry, Renown Regional Medical Center (Ms Medina), and Orvis School of Nursing (Drs Serratt and Pelter) and Speech Pathology and Audiology (Dr Brancamp), The University of Nevada, Reno, Nevada.

Correspondence: Teresa Serratt, PhD, RN, Orvis School of Nursing, The University of Nevada, 1664 N Virginia St, Reno, NV 89557 (

The authors declare no conflicts of interests.

Accepted for publication September 28, 2013.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins