Bloodstream Infection

Problem and Rationale

The purpose of the study is to determine, in the acute care burn and trauma population, is to determine if the application of obtaining early wound cultures as compared to not obtaining early wound cultures has a significant impact on identifying primary central line associated bloodstream infections (CLABSI) versus secondary bloodstream infections associated with wound infections. Bloodstream infections are a considerable concern for all hospitalized patients exposed to the intervention of central lines used as a means to provide intravenous fluids and medications (CDC, 2011; McLaws, 2012) The complications associated with central line associated infections contribute significantly to mortality and morbidity in the

Universally, CLABSI are considered to be one of the top four types of healthcare acquired infections, and one of the most costly (McLaws& Burrell, 2012). By definition the literature is universally based on the CDC standard. The CDC (2011) definition states “CLABSI is recovery of a pathogen from a blood culture (single blood culture not commonly present on the skin and two or more blood cultures for organisms commonly present on the skin) in a patient who had a central line at the time of infection or within the 48 hour period before the development of the infection. The infection cannot be related to another infection the patient may have, and must not have been present or incubating when the patient when was

Much of the CLABSI prevention is based on the nursing process and the goal achievement consistent foundational principles of King’s theoretical framework fit this initiative. Trust of the facility and the nursing staff is a key element in the public’s choice of a healthcare facility. The patient’s perception is scored by the Center for Medicare and Medicaid (CMS) and the given quality data are available through Healthgrades and Leapfrog organization and patient experience by HCAPS. When the patient transactions between the client and the nurse are valued, and there is a collaborative effort, the goals are more likely to be met. King’s theory is foundational to the achievement of positive decisions by the patient and nurses are best positioned to facilitate the change (Graper, 2015). A multidisciplinary team in the burn and trauma units of two urban campuses of with designation as a level I trauma and burn by the study the infection prevention and management in the respective departments. These two teams in conjunction with the nurse research committee in each facility will data collect and analyze based on the organizations plan-do-check-act model, in order to foster improvement in the care of the burn and trauma population at higher risk for central line infections than other adult intensive care unit