Central line-associated bloodstream infection (CLABSI)
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What is this measure?
A central line is a tube placed in a large blood vessel called a vein.
The central line is often located in the neck, chest, or groin to give
medication or fluids. A central line-associated bloodstream infection
is when an infection occurs as a result of the central line.
How does Kaweah Delta perform?
Kaweah Delta Medical Center
Data Source: The Centers for Medicare and Medicaid Services (CMS) when
from the National Healthcare Safety Network (NHSN)
Benchmark Source: Rates are compared by the CMS to the U.S. national rate
for each Medicare patient type when available, or compared to
the predicted rate provided by the National Healthcare Safety Network (NHSN)
Why is it important?
This information is important because one way to tell if a hospital is
doing a good job is to see if the infection rates of central lines at
that hospital is better than, no different than or worse than the U.S.
national average. A central line-associated bloodstream infection can
be dangerous! Treatment for the infection can be long and costly. This
is an added problem that the patient did not have before coming to the hospital.
Kaweah Delta is in the business of making people better and is committed
to reducing CLABSI – it is one of our top priorities.
What is Kaweah Delta doing to continue to improve?
At Kaweah Delta, providing safe, high quality and customer-oriented healthcare
services that meet the needs of those we serve is our mission.
Healthcare providers at Kaweah Delta follow a strict protocol when inserting
the line to make sure the line remains sterile and a CLABSI does not occur.
In addition to inserting the central line properly, healthcare providers
must use stringent infection control practices each time they check the
line or change the dressing. Kaweah Delta professionals in infection prevention
and control meet with patients, look at their central lines and make certain
attention and high quality care is performed. Our nursing staff is trained
on the latest guidelines related to care of central lines. Products that
reduce the risk central line-associated bloodstream infection are in use
at Kaweah Delta. Patients are closely monitored for signs and symptoms
of infection and promptly treated if an infection were to occur.
"I am confident in the very industrious and innovative team of professionals
we have addressing reduction in central line-associated bloodstream infection
at Kaweah Delta! Their core objective is better patient outcomes. By putting
the patient first, there is a heightened awareness and urgency to resolve
risk of infection associated with central lines. I am certain this team
will not stop until there are zero central line-associated bloodstream
infections for our patients, and even then, work will continue to prevent
CLABSI." - Shawn Elkin, MPA, BSN, RN, PHN, CIC, Manager Infection Prevention
How can patients and families support safety?
Ask questions about the care of your central line. Observe your healthcare
providers and remind them to wash their hands before touching your central
line. Before giving medications or drawing blood from a central line it
is required, the port used to give medications or draw blood is scrubbed
with an alcohol pad several times – we call this “scrubbing-the-hub”.
If you do not see this happen, do not be afraid to remind your healthcare
provider to “scrub-the-hub”. If you go home with a central
line, make certain you receive instructions about care of the line and
any questions you might have are answered.
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