Interdisciplinary Plan Proposal-CLABSI

Interdisciplinary Plan Proposal-CLABSI

This plan aims to address the problem of central line-associated bloodstream

infection (CLABSI) in the medical-surgical ward. The plan targets the interdisciplinary team working in the medical-surgical unit. The plan will reduce the number of cases of CLABSI recorded in the medical-surgical ward, lower healthcare costs, and improve patient safety.

Objective

To implement the best evidence-based strategy to prevent and manage CLABSI among patients in the medical-surgical unit. Examples of preventive strategies include hand hygiene, embracing aseptic insertion techniques, and preference for the subclavian vein when using non-tunneled catheters (Haddadin et al., 2022). On the other hand, effective management is based on the timely initiation of empiric therapy followed by rational use of antimicrobials based on culture results. This objective will minimize the cases of CLABSI and optimize the management of existing cases.

Questions and Predictions

What is the impact of the evidence-based strategy on care coordination?

The evidence-based strategy will promote care coordination. Members of the interdisciplinary team will accomplish unique roles to prevent and manage CLABSI in the medical-surgical unit.

How does the evidence-based strategy impact healthcare costs?

The evidence-based strategy will minimize healthcare costs by shortening hospital stays and reducing costs spent on the management of CLABSI.

How will the evidence-based strategy impact resource allocation?

The evidence-based strategy will impact human and financial resource allocation. Additional financial resources are expected to be used to acquire antiseptics and disinfectants. Also, additional human resources will be required to achieve interdisciplinary collaboration.

Change Theories and Leadership Strategies

Lewin’s Change Management Model will be used to promote interdisciplinary collaboration and promote the implementation of the plan. The first phase of the model entails identifying the problem of concern and acknowledging that it should be addressed promptly (Burnes, 2020). This phase will be used to create buy-in for the members of the interdisciplinary team. Creating buy-in will increase the likelihood of implementing the evidence-based strategy. The second phase involves the actual implementation of the evidence-based strategy (Burnes, 2020). During this phase, the interdisciplinary team will collaborate to implement the plan. The third phase entails reinforcing and adopting the change into organizational culture (Burnes, 2020). This will enable the interdisciplinary team to remain committed to the evidence-based strategy. By so doing, the cases of CLABSI will be reduced.

Effective delegation is an example of a leadership strategy that will be used to achieve interdisciplinary collaboration. The delegation of roles is an enabler for care coordination (Samimi et al., 2022). Care coordination will promote a patient-centered approach when implementing the evidence-based strategy. Also, delegation indicates that the leaders trust members of the interdisciplinary team (Samimi et al., 2022). This is likely to promote accountability among team members.

Team Collaboration Strategy

Nurses, physicians, laboratory technologists, and pharmacists are team members involved in the implementation of the evidence-based strategy. Nurses will be involved in enforcing aseptic insertion techniques. Also, they will be involved in the selection of the appropriate site for catheter insertion. For instance, the subclavian vein is preferred to the femoral vein when using non-tunneled catheters (Haddadin et al., 2022). Physicians will be involved in diagnosing CLABSI and formulating treatment plans. Pharmacists will promote the rational use of antimicrobial agents. Laboratory technologists will be involved in performing antimicrobial sensitivity tests and providing culture results. This will optimize the management of CLABSI.

Further, open communication is an example of a collaborative strategy that the interdisciplinary team will use. It will enable the team leader to share the team’s goals and objectives. Furthermore, it will promote information sharing among members of the interdisciplinary team and eliminate confusion and conflict (Ngangue et al., 2020). Open communication will provide a channel for the timely delivery of feedback to members of the interdisciplinary team. This will enable the team to collaborate effectively.

Required Organizational Resources

The healthcare facility should allocate human and financial resources to implement the evidence-based strategy effectively. To begin with, financial resources should be used to acquire supplies that will promote the prevention of CLABSI. Examples of these supplies include soap, alcohol-based foams, full-body drapes, and chlorhexidine preparations. These supplies will enable the team to embrace proper hygiene and aseptic methods required to prevent CLABSI. Currently, the healthcare facility lacks these medical supplies. Also, human and financial resources should be allocated to train the interdisciplinary team involved in the management of CLABSI. The training should focus on key aspects such as the relevance of empiric therapy, antimicrobial sensitivity tests, and the rational use of antimicrobials. In addition, the training should emphasize hygiene and aseptic central venous catheter insertion techniques. Approximately $1,500 will be used to acquire the medical supplies. On the other hand, about $600 will be used to facilitate the training of the interdisciplinary team.

Failure to implement the evidence-based strategy will impact the healthcare facility. Firstly, it will lower patient safety. In this context, CLABSI will likely increase morbidity and mortality rates among patients in the medical-surgical unit. Secondly, it will increase healthcare costs. An increase in the cases of CLABSI will prolong hospital stays; hence, patients will incur higher treatment costs. Thirdly, an increase in CLABSI will create a bad reputation for the healthcare facility. This is likely to reduce referrals to the facility because patients will prefer to visit other facilities.

 References

Burnes, B. (2020). The Origins of Lewin’s Three-Step Model of Change. Journal of Applied Behavioral Science, 56(1), 32–59. https://doi.org/10.1177/0021886319892685

Haddadin,Y., Annamaraju, P., & Regunath, H. (2022). Central Line Associated Blood Stream Infections. https://www.ncbi.nlm.nih.gov/books/NBK430891/

Ngangue, P. A., Forgues, C., Nguyen, T., Sasseville, M., Gallagher, F., Loignon, C., Stewart, M., Belle Brown, J., Chouinard, M. C., & Fortin, M. (2020). Patients, caregivers and health-care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study. Health Expectations, 23(2), 318–327. https://doi.org/10.1111/hex.13035

Samimi, M., Cortes, A. F., Anderson, M. H., & Herrmann, P. (2022). What is strategic leadership? Developing a framework for future research. Leadership Quarterly, 33(3), 101353. https://doi.org/10.1016/

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For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

Interdisciplinary Plan Proposal-CLABSI

The healthcare industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.