Question

The nurse notes that there has been an increase in the number of intravenous (IV) site infections that developed in the clients being cared for on the nursing unit. How should the nurse proceed to implement a quality improvement program?

a. an action that the nurse should take to resolve the problem Non-essential
b. an action that the nurse could take without harming the client, but the action would not be likely to address the problem Contraindicated
c. an action that could harm the client and should not be taken

Answer 1

Combat the increase in IV site infections, (b) the nurse should collect data on the issue, review and improve protocols, develop and enforce a checklist to minimize human error during IV insertion, and train staff on aseptic techniques. Empowering healthcare workers to follow the checklist and monitor its adherence is critical, as is adapting the plan based on effectiveness.

Step-by-step explanation:

Implementing a Quality Improvement Program

To implement a quality improvement program in response to an increase in intravenous (IV) site infections, the nurse should take several steps. Firstly, it is crucial to gather data and assess the extent of the problem. Once the data collection is completed, the nurse should review current IV insertion and maintenance protocols to identify gaps or non-compliance with best practices.

Following the example of Dr. Gawande and Dr. Pronovost, the nurse should consider developing and enforcing the use of a checklist for IV line insertion. Each step on the checklist is designed to minimize human error and prevent infections. It is also essential to engage and empower all healthcare personnel, including nurses, to observe and ensure that the checklist is followed diligently.

Furthermore, adequate training and periodic re-training of staff on aseptic techniques is vital. If an increase in infections persists, a more in-depth investigation might be necessary to identify other contributing factors, such as contamination of equipment or supplies. An action plan should be developed, tested, implemented, and monitored for effectiveness, adapting as necessary to reduce the incidence of IV site infections. This comprehensive approach is non-harmful and directly addresses the problem at hand, thereby falling into the category of an essential action for quality improvement.