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Description
INNOVATION
Background: In 2013, an elevated CLABSI rate as high as 3.4 indicated that a specialized team approach would be necessary to improve quality care and patient outcomes. Development of a unique blood stream infection (BSI) team, that focused specifically on managing central lines, was successful and later expanded in to focus on other quality metrics. In 2015, the team was re-named safety and quality (SAQ). In 2016, the NICU utilized the team model by developing an internal transport team (ITT) to complete internal transports for procedures. The SAQ and ITT groups merged in 2019 to improve efficiency in the unit workflow and to promote team development. Currently, known as the transport and quality team (TAQ), there is continued evolution, where the team has extended their skills to respond and treat moderate and severe peripheral intravenous infiltrates (PIVIEs) with Wydase administration, insertion of midline catheter devices and peripherally inserted central catheters (PICCs).
Objective: Implement team-based nursing model to ensure patient safety and improve quality measures of the neonate on a variety of platforms which include appropriate vascular access, peripheral and central line management, internal transport and prevention of hospital acquired conditions (HACs).
Implementation:
- Role Development and team member selection process
- Competency pathways (initial and ongoing)
- Team Interventions and bundles: CLABSI, PIVI, CAUTI, HAPI
- Internal Transport Standards
- Line management and insertion guidelines
- Escalation and communication processes
- Shift reports and data collection
Evaluation:
- Increased bundle compliance >90%
- Increased vigilance of reporting and reviewing (Safelinks, Escalation, Audits)
- Increased professional practice (certifications)
- Departmental collaboration (MRI, IR, Fluoroscopy, Nuclear Medicine, Radiology)
- Improved clinical team communication
- Decreased HAC events/rates
- Improved line management
- Decreased central line days 0.28%
- Improved department workflow
- Gallup: Improved staff engagement and satisfaction
Publication Date
9-27-2024
Keywords
Innovation, NICU, Nursing Models
Disciplines
Pediatric Nursing
Recommended Citation
Lanehart, Kymeyone; Palmer, Rebecca; Tidwell, Jerithea; Mason, Lisa; Whitten, Sharica; Doerge, Katie; and Yallapragada, Sushmita, "NICU Team Nursing Model: Purposeful Collaborative for Positive Outcomes" (2024). 2024. 24.
https://scholarlycollection.childrens.com/nursing-anf2024/24
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
