In the fourth week, my mentor and I reviewed the CL fascicle for preventing CLABSI. I realized that my workplace place had the CL guidelines in place, but less follow-up was conducted on the implementation process due to lack of resources and pure negligence. For instance, while changing a central-line dressing, I realized that the necessary supplies such as star lock were out of stock and could only be obtained from a different unit. This meant that I had to pause the dressing and fetch the supplies, which furthers the chances of inpatient infections. Furthermore, as I analyzed the situation further, I noted that the hospital’s Standardized Infection Ratio was 0.99, compared to the state level of 0.79. Thus, more work needs to be done to reduce the gap between observed and expected infections.