Final Thoughts
Some providers view central venous catheter insertion as a “doctor responsibility” while daily catheter maintenance is seen as a “nursing responsibility.” Unfortunately, this viewpoint challenges the notions of teamwork and shared responsibility that are essential for infection reduction. Furthermore, this erroneous observation simply ignores the reality that all providers have an impact on the many risk factors mentioned above.
Knowledge alone is not sufficient for changing behavior—you must also take the necessary actions. Please realize that you have a direct impact on infection rates and the quality of medical care in all VUMC ICUs. If you have any questions about something in our ICUs, ask someone. If you have suggestions about ways to improve care in our ICUs, speak up. The quality of health care is only improved if the front line workers get involved.
For questions, suggestions, or concerns regarding this tutorial and the CVC intervention, please contact Tom Talbot, MD MPH or Kathie Wilkerson, RN at the offices of VUMC Department of Infection Control & Prevention at 936-0725.
The design and initial successful implementation of this project was the result of a multicollaborative effort led by Richard Wall, MD MPH and involving the MICU nursing and medical staff, the VA Quality Scholars Program, VUMC Department of Infection Control & Prevention, the Center for Clinical Improvement, and the Center for Health Services Research.
Abbreviations
ICU = intensive care unit
