Central venous catheter

Morrison, T. (2012). Qualitative analysis of central and midline care in the medical/surgical setting. Clinical Nurse Specialist, 26(6), 323-328. In 2012 a clinical nurse specialist from Naples Florida did a qualitative study that focused on nurses from a 400-600-bed community hospital with regards to CLABSI’s. The NCH Healthcare System Foundation funded to the cost of in-service production and telephone interviews (Morrison, T., 2012). The purpose of the study was to examine the experience and…

Life long learning from a rare complication during subclavian venous cannulation Abstract- Placement of central venous cannulation (CVC) is generally a safe procedure but several complications like pneumothorax, arrhythmias, arterial puncture, infection and thrombosis may occur even in the experienced hands. Complications related to guide wire insertion or removal are very rare and mostly relate to expertise and knowledge of operating person. So here we report a rare but completely avoidable…

suprasternal notch. The direction of the needle is now aligned with the central axis of the SCV, minimizing the risk of puncturing the subclavian artery, pleura, or apex of the lung [46]. By keeping the needle in a horizontal plane, the risk of arterial or pleural injury is minimized [47]. On its course the needle goes through skin, superficial fascia, subclavius, clavipectoral fascia, and SCV. Correct Placement of Catheter Tip The catheter tip should be placed 3–4 cm above the junction of the…

inserted central catheter lines for central venous access in patients has increased in recent years despite a lack of evidence regarding safety. A recent survey of invasive catheter practices among patients in the United States found that 37% of terminally ill patients use peripherally inserted central catheters (PICC lines) as part of their treatment protocol. The goal of this paper is to inform the reader about the safety, teaching, and care of peripherally inserted central catheters and…

Getting an infection from improper care during or after insertion of a central line is the last thing you want to have while in the hospital. An infection that can happen is a bloodstream infection, in which bacteria enters though the site of insertion or one of the hubs on the catheter and ends up in your bloodstream. This paper will discuss Kaiser Permanente’s policy on central venous catheter, also known as a central line, care and dressing change, and whether it follows the current…

Central venous access devises (CVADs) are very important in healthcare practice. There are many issues related to patient’s safety concerning the use of CVADs in a hospital setting. Catheter occlusion is a substantial impediment to delivery of care. It occurs at a rate ranging between 3% and 79% and is responsible for many negative outcomes such as drug extravasation, loss of patency, device replacement, device removal and hospital visits. These negative outcomes may delay treatment process,…

Peripherally Inserted Central Catheter Dressing Changes The focus of this paper is to provide the importance of evidenced based practice (EBP) in the nursing field and to compare the policy of Kaiser Permanente San Jose Medical Center’s topic of peripherally inserted central catheter (PICC) dressing changes to multiple evidenced based practices. Within the past decades, changing a PICC line dressing has changed over time. Different antiseptic agents and techniques of cleaning the site are…

spread of bacteria from an unknown colony. The study observed that catheter dressings treated with chlorhexidine have a 52% reduction in bacterial infections as compared to other dressings treated with alcohol. Furthermore, this type of dressing is able to avoid colonization of the bacteria in infected areas by about 40% (Rickard & Ray-Barruel, 2009). Gilles and colleagues performed a Cochrane systematic review relating to central venous line dressings that was first published in 2003,…

Introduction Intravenous infusion therapy is an infusion of fluids directly into the patient’s bloodstream via a vein using an intravenous catheter. It is frequently used in hospital settings for patients that require a rapid onset of medication and for those who are unable to receive medications orally. According to Adams and Urban (2012), intravenous (IV) infusion is considered to be the most dangerous route of receiving medications because medication cannot be retrieved once it enters the…

intravenous catheter inserted for fast and easy infusing of medications, fluids, and/or blood products when needed. Inflammation of the vein’s walls where the IV is placed on the hand or arm is termed at phlebitis. Phlebitis is the most common complication of IV infusions and occurs in 30% of patients that are receiving infusions within the hospital (Mullen & Mullen, 2007). Majority of the cases are presented in the in the forearm of dependent, elderly patients who have the indwelling catheter…