Evidence-Based Practice & Strategies in Reducing Catheter Blood Stream Infection in Hemodialysis Patients

Patients on hemodialysis are vulnerable and have a substantial risk of getting life threatening infections.The Centers for Disease Control and Prevention (CDC) and Center for Medicare & Medicaid Services (CMS) collaborate to ensure that Dialysis Centers start core interventions to ensure the reduction of dialysis bloodstream infections.The staff members considered the structural element where they used policy and procedure manuals to improve and ensure the process of supplying the Central Venous Catheter (CVC) maintenance care.The purpose of this project is to assess the dialysis staff's adherence to the evidence-based practices and strategies instituted by CDC.The focus is on the process of assessing the level of knowledge and skills and compliance in following the facility's protocol and policies.A pre and posttest educational intervention design was used to find the level of understanding of the dialysis staff and their responsibility in applying their knowledge and skills to reduce the infection episodes of their patients during treatment.The audit tools and checklist were the resources for the dialysis member to complete and comply so that catheter related blood stream infection is prevented.Kurt Lewin's change model and the Plan-Do-Check-Act (PDCA) method are used to guide this project.Lewins's theory was used to improve patient outcomes, enhance nursing practice, and check health care costs.Overall, the dialysis staff members were able to follow the evidence-based practices and strategies recommended by CDC and the clinical practice guidelines derived from systematic review to achieve a high quality of care.