You are the nurse manager in a a small department at Manor General, a 300-bed rural hospital. During a recent interdepartmental meeting, the infection control department reported a two-times increase in central line infections from last year. Knowing the significant financial impact of hospital-acquired infections and accreditation standards, this issue must immediately be addressed by your department.
As the nurse manager, you are charged with evaluating this problem and implementing a quality improvement process to reverse these reported levels. Your team is not pleased that they have been asked to spearhead this initiative and already feel overworked. Your goal is to create a quality and safety protocol related to the insertion and care of central lines based on a facility risk assessment.
This proposal must identify the accreditation standard that is impacted by increased infection rates, the fiscal and physical impact of increased infection rates, processes to be implemented to bring about the desired change, along with an evaluation method for the stated plan. Utilize Lewins theory of change with examples of how you will address the different stages, along with a process improvement model that will be embraced by your team.
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