Central lines inserted in emergency situations (e.g., in cases of severe trauma or when cardio pulmonary resuscitation is required) are also excluded from bundle compliance (excluded from the numerator and denominator). Also central lines inserted for diagnostic purposes (e.g., right heart catheterization, pulmonary angiography) that are normally removed directly after insertion, are also excluded from bundle reporting. “Intensive Care Units” (ICU) The NHSN defines an ICU as, “A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. An ICU excludes nursing areas that provide step-down, intermediate care or telemetry only. Specialty care areas are also excluded.” NOTE: NHSN defines “specialty care area” as a hospital location providing specialized care for solid organ transplants or inpatient acute dialysis. “Neonatal Intensive Care Units” (NICU) The NHSN defines a NICU as, “A hospital unit organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. There are two types of NICU in NHSN: combined Level II/III NICU and Level III NICU.” The CDC/NHSN Patient Safety Component Protocol provides detailed definitions of Levels II and III. “Ventilator” or “Mechanical Ventilation” A ventilator is a device to assist or control respiration continuously, inclusive of the weaning period, through a tracheostomy or by endotracheal intubation. Lung expansion devices such as intermittent positive-pressure breathing (IPPB); nasal positive pressure (PEEP); and continuous nasal positive airway pressure (CPAP, hypoCPAP) are not considered ventilators unless delivered via tracheostomy or endotracheal intubation (e.g., ET-CPAP).
blood stream 4, 8, 9, 17 BSI See blood stream infection central line See central line catheters Central Line Associated Laboratory Confirmed Bloodstream Infection 8, 12 central line bundle compliance 4, 13, 16, 17, 18 central line catheter 4, 8, 10, 12, 25, 26, 27, 28 central line catheter associated blood stream infection 4, 8, 12, 27 central line days 11, 14, 15, 18, 19 CLABSI See Central line catheter associated blood stream infection CLALCBSI See Central Line Associated Laboratory Confirmed Bloodstream Infection critical care units 26 day of the week 14, 16, 19, 21, 23, 29 due dates, data delivery 31 Excel file naming convention 31 failure to file 6 Filing media 5 Filing periods 5 HAI-1 4, 8, 12, 24, 27 HAI-2 4, 8, 12, 27 HAI-3 4, 10, 13, 25, 26, 27 HAI-4 4, 10, 17, 25, 27 HAI-5 4, 20, 24 hemodialysis 9 IHI 5 Million Lives Campaign Getting Started Kit 4 infusion 9 insertion site 9, 10, 27 intensive care units 4, 10, 11, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 27, 29 legal compliance 6 MHDO hospital ID numbers 31 Mixed acuity unit 11, 14, 15, 16, 17, 21, 22, 23, 24, 25, 26, 27 National Healthcare Safety Network 4, 8, 11, 12 Neonatal intensive care unit 10, 11, 12, 27 pacemaker 9 portacaths 9, 10, 11, 27, 28 See portacaths public access to 6 resubmission, data 6 sampling methods 16, 19, 23, 29 submission requirements 5, 6, 31 transfusion 9 tunneled 9, 10, 27, 28 umbilical catheter 8, 9, 11, 12, 13 ventilator 10 ventilator bundle 4, 20, 21, 22, 23 ventilator days 11, 21, 22, 26, 27 waivers 6