(06) A Pediatric Triad Collaboration on CLABSI Re-education

Title: A Pediatric Triad Collaboration on CLABSI Re-education

Abstract : Basis of Inquiry
Central Line-associated blood stream infection (CLABSI) rates on the pediatric inpatient unit have not met national NDNQI standards for several years. CLABSIs place oncology patients at risk for severe complications such as sepsis and death. Identifying contributing factors, learning needs, and practice drift was a priority.
Purpose/Objectives
The purpose of the practice education program was to increase knowledge on pediatric CLABSI rates and causes and enhance staff use of prevention strategies in the CLABSI bundle, including chlorhexidine bathing, clean protocol policy, dressing and hemostatic agent algorithms, and line securement. Nurses demonstrated sterile techniques and identified breaks in CLABSI protocol. The goal was to reduce CLABSI rates and increase bundle compliance and knowledge.
Methods
A mandatory CLABSI reeducation day was implemented for all nurses on the pediatric platform. A four-hour education program, delivered in person, included hospital metrics, case studies, skills demonstration, and competency sign-off. Pretests measured baseline knowledge, and post-tests were given immediately and six months later. Competence in sterile technique and central line dressing changes was assessed by trained super users using low-fidelity simulation with Chester chest mannikins and sterile dressing kits.
Findings or Outcomes
The average results of the pre CLABSI re-education were 47.44%. The average post CLABSI re-education score was 73.75%. The average 6-month post education score was 55.8%. Most questions showed improvement from pre to post test. Long-term knowledge retention was lower than expected, but higher than before the education program. The results highlighted gaps in nursing knowledge regarding CLABSI prevention and reinforced the importance of ongoing education.
Conference Learning Gaps
The learning gap addressed was nursing practice in central line care due to lack of knowledge. Learners incorporated education strategies to improve CLABSI rates in pediatric hematology/oncology patients, demonstrating increased knowledge of strategies to decrease CLABSI rates.