1. Earhart, Ann MSN, CRNI, CNS
  2. Meyer, Jeannette MSN, RN, CCRN, CCNS, PCCN

Article Content


Describe the impact of Institute for Healthcare Improvement central lines bundles in decreasing central line infection. Discuss methods created and implemented for the utilization of these bundles at a metropolitan medical/surgical critical care unit.



Implementation of Institute for Healthcare Improvement bundles in the critical care environment has improved central line outcomes.



Elevated central line infection rates necessitated a root-case analysis and implementation of evidence-based practice standards.



National Institutes of Health Services (NIHS) benchmarks were utilized. Initial data about the nature of central line infections via a Central Line Audit Tool were gathered. Interventions based on this audit included the initiation of an Insertion Safety Checklist and the development of a Central Line Necessity assessment tool.



Eight months without a central line infection and a decrease in unnecessary lines (based on criteria) from 12% to 1-4%.



Institute for Healthcare improvement guidelines, when utilized in creative ways specific to an institution's culture, can improve outcomes.


Implications for Practice:

CNSs must assess and integrate national guidelines into the existing practice environment.