Date of Project Completion

Spring 4-29-2021

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Kim Langer

Abstract

Purpose and Rationale: This project is designed to translate the collective knowledge and evidence-based interventions surrounding the reduction of central line-associated bloodstream infections (CLABSIs) and use these evidence-based practices to create an extracorporeal membrane oxygenation (ECMO) cannula site bundle. The desired outcome of creating an ECMO cannula-site bundle is increased cannula site integrity, decreased frequency of dressing changes, and minimized risk of cannula-site infections.

Synthesis of Evidence: Currently, there are no clinical practice guidelines for ECMO cannula site care to guide bedside practice. The ELSO Infectious Disease Taskforce recommends implementation of a CLABSI bundle for ECMO site care, but many of the products used for CLABSI prevention are not intended for large ECMO cannula sites.

Practice Change and Implementation Strategies: The DNP students will create an ECMO cannula site bundle inspired by the CLABSI evidence available, as there is currently no ECMO specific products available.

Evaluation: To evaluate project success, the DNP students will investigate the number of dressing changes required for ECMO insertion sites due to saturated and/or not intact dressings comparing pre and post implementation cohorts.

Conclusion and Implications for Practice: This project would serve as a mean to standardize approaches to dressing the ECMO cannula insertion site, and potential serve as a clinical practice guideline to cannula site care.

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