Describe a specific example when you identified a safety or quality issue in the NICU and led or contributed to a change to address it. What steps did you take to get buy-in, implement the change, and measure its impact?

We noticed our CLABSI rate rose from 2.6 to 4.8 per 1,000 line-days over three months, and I convened a 12-person working group (10 nurses, 1 neonatologist, 1 infection-control nurse). I led a rapid audit of line-care practice, identified inconsistent dressing changes and lack of daily line-necessity checks. To gain buy-in I presented local data and evidence-based interventions at two staff meetings and ran three 2-hour bedside training sessions; uptake was supported by a one-week trial of a standardized line cart. We introduced a dressing-change checklist, a daily-line-need prompt on rounds, and weekly compliance audits. Within eight weeks checklist compliance rose to 96% and CLABSI fell to 1.2/1,000 line-days at six months. I shared run-charts weekly and adjusted the protocol based on frontline feedback.