Holtz Children’s Hospital: Reducing Central Line Infections

Respond to questions 1and 2 and one additional question found at the end of the case. I can actually do the APA format with 12 point font. Use references; no plagiarism please. Responses should be well thought out and complete in content on a least two-thirds to a page minimum. Integrate some information from our text that is applicable to your case analysis.  Cite a supporting statement or concept that illustrates and validates your response. In addition, know how it applies in real situations.

The texts books are

Implementing Continuous Quality Imprpvement in Health Care (McLaughlin, (Sollecito, Johnson)

McLaughlin and Kaluzny’s Continuous Quality Improvement in Health Care (Sollecito, Johnson)

1. Why would one question whether the well-documented improvement efforts in CA-BSI in adult ICU settings are transferrable to pediatric settings?
2. Why might some PICU staff members resist implementing the central line bundle given its success elsewhere?
3. This case takes place in a resource-constrained environment. What approaches were used to overcome these limitations?
4. What would be your response if the chief of the transplant service had said, “We don’t seem to be doing too badly, certainly not any worse than our local competitors.”
5. Discuss the relative merits of each of the alternative approaches available for reducing line infections in addition to improved care and maintenance:

• Discussing each infection as a sentinel event.
• Using a daily goals checklist.
• Using insertion practices, such as sterile insertion techniques.

What factors might lead you to emphasize one over the others?

6. What are the merits of using a forcing tactic, such as removing the ethanol swab materials from the bedside?