Loading...

Media is loading
 

Affiliations

Christ Medical Center

Presentation Notes

Quality Improvement poster presented at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.

Abstract

Background/Rationale:

Left Ventricular Assist Device (LVAD) patients are at high risk for driveline infections, which increase hospital stays, costs, and complications. At Advocate Christ Medical Center, Q1 2024 data showed an average infection rate of 25%, peaking at 43% in February. Variation in caregiver and nursing techniques contributed to inconsistent practices. Literature supports that standardizing education and sterile technique can improve outcomes.

Purpose:

To reduce driveline infections by 40% over 12 months by implementing structured nurse training, caregiver education, and consistent dressing change techniques.

Implementation Plan:

Beginning October 1, 2024, the unit launched standardized RN education through video modules, hands-on training, and competency checklists. Caregiver instruction was divided into manageable parts. Alcohol packets were introduced between glove changes to maintain sterility. A bedside checklist and sign-off forms ensure each step is followed. Only RNs with over one year of experience complete teaching and sign-offs. A second outpatient sign-off ensures skill retention post-discharge. Staff rotate through 3-month competency refreshers.

Outcomes:

Preliminary data shows improved RN knowledge and confidence. Early compliance audits indicate more consistent dressing techniques. Infection rate reduction data will be assessed upon project completion in Fall 2025.

Implications for Practice:

This model promotes sustainable infection prevention, consistent patient education, and nurse confidence. It is being considered for expansion to other high-risk units. Standardizing training and integrating ongoing audits supports long-term success and patient safety.

Document Type

Poster

Publication Date

11-12-2025


 

Share

COinS
 
Nov 12th, 12:00 AM

Reducing Driveline Infections in LVAD Patients Through Standardized Education and Practice

Background/Rationale:

Left Ventricular Assist Device (LVAD) patients are at high risk for driveline infections, which increase hospital stays, costs, and complications. At Advocate Christ Medical Center, Q1 2024 data showed an average infection rate of 25%, peaking at 43% in February. Variation in caregiver and nursing techniques contributed to inconsistent practices. Literature supports that standardizing education and sterile technique can improve outcomes.

Purpose:

To reduce driveline infections by 40% over 12 months by implementing structured nurse training, caregiver education, and consistent dressing change techniques.

Implementation Plan:

Beginning October 1, 2024, the unit launched standardized RN education through video modules, hands-on training, and competency checklists. Caregiver instruction was divided into manageable parts. Alcohol packets were introduced between glove changes to maintain sterility. A bedside checklist and sign-off forms ensure each step is followed. Only RNs with over one year of experience complete teaching and sign-offs. A second outpatient sign-off ensures skill retention post-discharge. Staff rotate through 3-month competency refreshers.

Outcomes:

Preliminary data shows improved RN knowledge and confidence. Early compliance audits indicate more consistent dressing techniques. Infection rate reduction data will be assessed upon project completion in Fall 2025.

Implications for Practice:

This model promotes sustainable infection prevention, consistent patient education, and nurse confidence. It is being considered for expansion to other high-risk units. Standardizing training and integrating ongoing audits supports long-term success and patient safety.

 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.