UNE Nursing Student

Category: Change

Presenting Change

I brought our project to our floor at Maine Medical Center. I spoke with the charge nurse on R2 and explained that we had done a dissemination project about preventing CLABSI infections and that our project was for our evidenced based practice class at UNE. She said our project looked amazing and took the copies to put up in a few spots where the nurses could see them. She said that the infographics would catch people’s attention and nurses would love to read it.  Nurses on that floor are always so supportive and happy to learn new things so they were excited to see new posters. CLABSI prevention is something that is talked about so frequently in hospitals that anyone would be interested to know some statistics about them and the best ways to prevent the infections. 

I loved working with my team because we always supported each other at clinical and always made the best out of our time together. We made sure that all of our work was done successfully for this class and helped each other whenever we needed. I would want future employers to know that we took the time to educate ourselves about successful evidence based practice initiatives for quality improvement and we are ready to enter the nursing world. We are ready to recognize when change could occur and help implement change for the good whenever possible. Medicine is always changing and no one is too small to voice their opinions if change needs to happen. The thing that this team helped me out with a lot was making sure to get work done early. I get stuck in passing things in right on time but my group really worked on getting our projects and stuff done well before the due date so that we could take the time to double check that we did it to the best of our ability and are ready to pass it in. 

After working on this project and completing both EBP I and EBP III, I feel confident in my abilities to research healthcare topics and figuring out places in which change needs to occur and doing my research successfully. I know where to look for peer reviewed evidence based practice journal articles that are reliable, within the past five years, and have pertinent information to the topic that I am researching. I learned a lot about pulling multiple sources together and coming out with one research project from all the scattered information. 

Proposing Change

When working on this project, we learn a lot about central line associated bloodstream infection prevention. Through many sources we learned about how diligent aseptic technique, chlorhexidine or isopropyl alcohol caps on the hubs, scrubbing the hub and maintaining adequate hand hygiene are extremely important. The correct way to clean the hub of a central line would be: performing adequate hand hygiene, putting on clean or sterile gloves, using chlorhexidine or 70% isopropyl alcohol wipes to scrub the hub for at least 15 seconds while using a twisting motion, allowing the hub to dry, and placing a new cap on the hub after use. 

I have performed this technique a few times while administering medications through an IV hub and I was  familiar with the steps. Before creating this project proposal I did not know any specific statistics about CLABSIs, but now I know more. Such as, there is a thirteen times higher risk for developing infection on hubs that did not get a chlorhexidine or isopropyl alcohol cap placed on the hub because the  cap decreases infection risk greatly by protecting the hub and providing antimicrobial protection with the chlorhexidine or isopropyl alcohol. Knowing these statistics, I will never forget to scrub the hub of a central line or any IV line and then replace the cap with a brand new one after each time. 

Our team always works together so well. Today we did our whole brochure within an hour and it looks incredible. We are  good at supporting each other and are not afraid to speak up if something doesn’t look right or needs to be changed. The only revising we needed to do on our proposal is being a bit more specific about a few topics, but overall it was really good. Our team process is to just jump into things and help out wherever you are able to. We have not had any challenges so far because we all respect each other greatly and recognize that all of us are smart and have important opinions and ideas. 

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