Date of Award
Doctor of Nursing Practice (DNP)
Jennifer Mensik Kennedy, PhD, RN, NEA-BC, FAAN
Ellen M. Harvey DNP, RN, ACNS-BC, CCRN, TCRN, FCCM
External ventricular drains (EVD) are a common intervention in critical care areas for the management of hydrocephalus. The most common complication of this life-saving intervention is infection, which negatively impacts patient outcomes and overall healthcare costs. Current evidence shows that interdisciplinary team rounding improves compliance with evidence-based practice and reduces hospital-associated infection rates. The PICOT question that guided this project is: For patients with an external ventricular drain (EVD), what is the effect of interdisciplinary team rounding compared with the current practice of informal rounding, on compliance with an EVD care bundle and EVD-associated cerebrospinal fluid infections over two months? This paper will discuss how interdisciplinary team rounding was implemented in four critical care units at a level I trauma center located in Southwest Virginia. The implementation of this rounding process has resulted in zero infections at the practice site for the duration of the intervention and for a total of eight months to date. Despite the sample size for the project being much smaller than anticipated, the paper will show both clinical significance as well as anecdotal evidence to support this intervention as a successful part of a multifaceted approach to infection prevention.
Reiter, L. (2021). Implementing Interdisciplinary Team Rounding to Reduce External Ventricular Drain-Associated Infections. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.SDUZ4650
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