412. Central Venous Catheter Care Training: Shifting the Focus to Ambulatory Care
Session: Poster Abstract Session: HAI: Preventing Device-Associated Infections
Thursday, October 27, 2016
Room: Poster Hall
  • CVC IDweek poster.2016.pdf (466.4 kB)
  • Background: In the inpatient setting, educational interventions, including simulation-based instruction, have been shown to improve compliance with central venous catheter (CVC) care and decrease rates of central line-associated bloodstream infections (CLABSIs). Similar interventions have not been described in the ambulatory care setting. We designed and implemented a simulation-based educational class for home health nurses on CVC care. This was based on prior results from a multi-site collaborative survey of home health nurses and knowledge of CVC care (reported at ID Week 2015).

    Methods: Home health nurses were invited to attend a voluntary and complementary 2-hour educational session. The curriculum included both didactic and simulation techniques and focused on identifying CLABSIs, understanding key components of CVC care, and recognizing potential complications. Simulation training reviewed CVC dressings changes and implanted port access. Nurses completed pre- and post- class assessments as well as a class evaluation. Pre- and post- test analysis was performed using a linear mixed effects model of the scores with a fixed time effect (before and after intervention) and a random nurse effect.


    Results: We held 2 classes for a total of 27 home health nurses, representing 5 agencies. 21 nurses completed the pre-test and 23 nurses completed the post-test. Using a linear mixed effects model, the mean post-test score was 11.6 percentage points higher than the pre-test score (p< 0.001). Figure 1 displays the mean pre- and post-test score for each question. 23 nurses completed the class evaluation. All (100%) agreed or strongly agreed that the class was worth their time and helped improve their CVC care; 100% also agreed or strongly agreed that they learned new skills and would recommend the class to another home health nurse.

    Conclusion: As increasing numbers of patients are discharged from the hospital with CVCs we need to shift the focus of education from inpatient to the ambulatory setting. Our project demonstrates that simulation based classes on CVC care can be effective at increasing education and are well received by home health nurses.



    Jessica Howard-Anderson, MD, Internal Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, Anita Piano, RN, MSN, Interventional Radiology, University of California Los Angeles, Los Angeles, CA, Laurie Reyen, RN, MSN, University of California Los Angeles, Los Angeles, CA, Jonathan Grein, MD, Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, CA, Rekha Murthy, MD, FIDSA, FSHEA, Hospital Epidemiology, Cedars-Sinai Health System, Los Angeles, CA and Zachary Rubin, MD, Infectious Diseases, David Geffen School of Medicine/University of California, Los Angeles, Los Angeles, CA


    J. Howard-Anderson, None

    A. Piano, None

    L. Reyen, None

    J. Grein, None

    R. Murthy, None

    Z. Rubin, None

    Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.