Skip to main content
. 2010 Sep 17;5(9):e12815. doi: 10.1371/journal.pone.0012815

Table 2. Resources potentially required to implement a catheter care bundle.

Activity Resources
Unit Frequency
Catheter care bundle components
Components
Appropriate hand hygiene 30 seconds per catheter
Maximal sterile barrier precautions at insertion
mask, gloves, gown, cap, large drape 1 set per catheter
preparation of precautions 20 minutes per catheter
Chlorhexidine skin preparation 7 day supply per catheter
Subclavian vein placement preferred no additional activity
Prompt removal of catheters no additional activity
Central line supply care
Stocking of cart no data every 4 hours
Use of cart time saving per catheter
Education & monitoring activities
Education
Nurse lectures 40 minutes 16 lectures
Physician lectures 40 minutes 5 lectures
Web-based physician training module no data on duration or attendees no data on repetition
Nurse orientation module no data on duration or attendees no data on repetition
Posters & factsheets no data on numbers no data numbers
Checklist for insertion
Training on use no data on duration or attendees no data on repetition
Use of checklist 2 minutes per catheter
Feedback on performance no data on resources no data on repetition
Collation & feedback of infection rates no data on resources no data on repetition
Mentoring & leadership activities
Keystone project support*
Conference calls from Keystone no data on duration or attendees 2 per month
Conference calls from Hopkins no data on duration or attendees 1 per month
Statewide meetings no data on duration or attendees 2 per year
Participant website no data on resources no data on updates
Bimonthly e-newsletter no data on resources 2 per month
Institution visits no data on resources no data on repetition
Key personnel (average four) per hospital
Physician leader 4–8 hours per week
Nurse leader 4–8 hours per week
Senior executive 4–8 hours per week
Staff nurse/infection control practitioner/pharmacist 4–8 hours per week
Program activities
Education session & safety survey 40 minutes, all staff once
Senior executive meetings no data on duration or attendees 1 per month
Daily goals sheet for communication no data on resources 3 per day
Nurse pre-discharge medication review no data on resources per admission
Web-based error reporting system no data on resources no data on maintenance

*Keystone funded to $15 million to undertake multiple projects not just a catheter care bundle.

Resources were identified based on the following publications:

Pronovost PJ, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C: Improving communication in the ICU using daily goals. J Crit Care 2003, 18:71–75.

Pronovost PJ, Weast B, Bishop K, Paine L, Griffith R, Rosenstein B, Kidwell RP, Haller KB, Davis R: Senior executive adopt-a-work unit: a model for safety improvement. Jt Comm J Qual Patient Saf 2004, 30:59–68.

Pronovost PJ, Goeschel C: Improving ICU care: it takes a team. Healthc Exec 2005, 20:15–22.

Pronovost PJ, Weast B, Rosenstein B, Sexton B, Holzmueller CG, Paine L, Davis R, Rubin HR: Implementing and validating a comprehensive unit-based safety program. Journal of Patient Safety 2005, 1:33–40.

Pronovost PJ, Needham DM, Berenholtz S, Sinopoli D, Chu H, Cosgrove SE, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C: An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006, 355:2725–2732.

Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, Milanovich S, Garrett-Mayer E, Winters BD, Rubin HR, Dorman T, Perl TM: Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004, 32:2014–2020.