Stacie S. Spicer, RN, BSN, CCRN, a clinical leader in the cardiac ICU at Children’s Healthcare of Atlanta, shares her personal and institutional patient care plans are for 2011, and how those goals will affect patient care.
In 2010, the CICU placed a focus on decreasing bloodstream infections. I have always had an interest in microbiology, so I was excited about the opportunity to improve our practices around BSI prevention. I helped develop scrub the hub for line entry and better practices around central line dressing changes. We also implemented a line-entry practice that exceeds the U.S. Centers for Disease Control guidelines. As the CICUs BSI prevention champion, I educated our nurses on the new procedure. Staff have been very supportive of these efforts, and, as a result, we have seen our BSI rate drop to historic lows.
My resolution is to continue to drive best practices around BSIs. I hope to improve processes to decrease line entries and the number of days that patients have lines. This will involve working with physicians to change practices around ordering labs and meds that require line entry. My goal for 2011 is a BSI rate of zero. If anyone can do it, the CICU can.