Rinke says the critical component to reducing infections was letting front-line nurses and patients' families lead the way.
"If I was the one leading this project it never would have gone anywhere. It was getting nurses involved, getting homecare nurses involved, and getting patients and their families involved that drove this project. You have to empower them," he says.
"I told them: 'We need your help. Tell us the best way to do this. If you see a doctor or a nurse treating your child's line in the wrong way stop them. We want you to stop them and here is a respectful way to do that. Here is a script on how to do that to make sure your child gets the best line care possible.'"
"The important thing we can take from this in addition to what has already been said in a lot of studies about improving central line infections is that you can do it in the ambulatory setting, outside the controlled inpatient doctor-and-nurse-only-taking-care-of-the-line-setting. You can get parents and patients involved and you can trust them to be advocates for better line care for their own lines and to do it well."