In research done by the CDC, they reported that MRSA central line-associated bloodstream infections among all ICU types (excluding pediatric units) declined by 50% over the past ten years. Though specific causes of the decline was not observed, they know that certain measures were done including central-line insertion safety and care practices to avoid transmission of MRSA among patients.
The nursing department in one hospital developed a written protocol and a photo book so that every step of the process has a photo and a description below it and was made available in the hospital’s intranet so people can review it at any time.
They also arranged pre-packaged kits for central-line insertion which is more practical and lessens the risk of infection because instead of going to different shelves to get what they need, everything is already encased in a single package. In addition, the chlorhexidine antiseptic skin prep recommended by the CDC was used to replace the older 2% solution since it was more effective.
Nurses were also given the autonomy to stop the procedure while the central line was being inserted when aseptic technique was not followed. This helped diminish central-line associated infections considerably. The nurses played a crucial role in the implementation of the plan since its success depended on their vigilance to accomplish their goal.
This points again to the importance of nurses’ involvement in significant changes in positive patient outcomes and why support of a strong nursing workforce and education system is vital to the overall healthcare in the U.S.