Title of DNP Project
Date of Project Completion
Doctor of Nursing Practice
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.
Garaffa, Kelly and Amos, Mickey, "A Bundled Approach to Integrative Care for Peripherally Inserted Extracorporeal Membrane Oxygenation Cannula Insertion Site" (2021). Nursing DNP Projects. 41.