Bloodstream infections are the most frequently reported type of infection in pediatric intensive care units (PICUs) and can represent significant morbidity and mortality in this population.1 There are few reported studies focusing on central venous catheter (CVC) care in PICU patients and there are still unresolved issues in the Centers for Disease Control and Prevention guidelines for prevention of catheter-related bloodstream infection (CRBSI) in children.2 Practice guidelines specific to pediatrics and prevention of CRBSI have been informed by the adult literature.
Review unit policies, procedures, and protocols related to CVC management. Determine the evidence used for the policies and update as needed. Include references as guides for ongoing review.
Evaluate current practice on your unit. A knowledge survey could be done through SurveyMonkey© and e-mail; a skills survey is best done by observation in practice.
Standardize teaching methods and tools for...