Management of Central Lines Sarah Dunbar, Lourie Grijalva, Brittany Matthews, Megen Price, & Lauren Sapp Introduction According to the Joint Commission (2012, p. v), Central Venous Catheters (CVCs) are the most frequent cause of healthcare-associated bloodstream infections, and about 3 million are placed in the United States annually. A central line associated bloodstream infection (CLABSI) is an infection in the blood that develops as a result of introducing bacteria into these central lines. “In the United States, from 250,000 to 500,000 CLABSIs are estimated to occur every year, which result in a rate from 10% to 30% of mortality” (Perin, Erdmann, Higashi, & Sasso, 2016). Currently, one third of all hospital acquired…
Unfortunately, there are approximately“One million catheter-associated urinary tract infections (CAUTIs) per year, associated with an additional cost of $676 per admission (or $2836 when complicated by bacteremia)” (Meddings et al., 2013, p.1). It is evident by the statistics presented, catheter-associated urinary tract infections remain a problem…
The primitive element of Evidence Base Practice is to personalize the evidence to fulfill distinct patient need within the context ((Polit & Beck, 2012, p. 25). paper includes the summary of an Evidence Based Practice implementation on reduction on hospital acquired Cather-Associated Urinary Tract Infection (CAUTI) in a community hospital setting. The key points, list of steps taken by nursing, a practice problem that would benefit from the implementation of an EBP are explained here. The result of the study with a conclusion is also enclosed.…
A. (2016), a combination of disinfection protocols are the key to not only decreasing Central Line Associated Bloodstream Infections (CLASBI) but eliminating them. At the Hospital Practice Council the subject of decreasing central line infections throughout the hospital was agreed to be addressed. At present, our hospital wide central lines infection rate is 21%. An analysis of the critical care units central lines and their infection/no infections would be address next meeting. Decreasing central line infections became a unanimous vote during the Hospital Practice council…
The Quality and Safety Education for Nurses (QSEN) competency model is a significant model in nursing. It molds and shapes the values and beliefs that nurses hold true. The nurse needs to maintain patient centered care, team work and collaboration, evidence-based practice, and informatics while being safe, providing quality and improvement. Preventing catheter associated urinary tract infections (CAUTI’s) are a big issue in healthcare, and the QSEN model with the KSA questions outline and demonstrate this issue. Catheter associated urinary tract infections are a big issue in the hospital and can be avoided when the healthcare team all work together.…
Nice post Dana! As we know, prevention is better than cure, and many UTI's can be prevented if we didn't use so many indwelling urinary catheters. The most common hospital-acquired infection is urinary tract infection (UTI), which accounts for almost 40% of all nosocomial infections (Saint, 2008). Most hospital-acquired UTIs are associated with urinary catheters, a commonly used device among hospitalized patients (Saint,2008). Urinary catheterization occurs in 25% of patient hospitalization, but other methods of prevention should be assessed first (Saint, 2008).…
Since The Centers for Medicare and Medicaid Services are no longer paying for the cost associated with CAUTIs, which is placing a financial burden on the hospitals due to loss of revenue. Furthermore, CAUTIs are a preventable infection with proper protocols in place for this reason, having a nurse champion in place will help align the unit in the right direction to prevent CAUTIs. In conclusion, CAUTIs are preventable adverse outcomes that cause increased patient morbidity and mortality and contribute to hospital cost. More than 560,000 CAUTIs occur annually, resulting in approximately 13,00 deaths with an additional 100,000 die from healthcare acquired infections every year.…
As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem I am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in hospitalized patients. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling Foley catheters and other requiring placement of the Foley catheter for various reasons. However, research has found that many patients tend to be at risk of unnecessary catheterization and are also at a greater risk of both infectious and non-infectious complications from the procedure (Carter, Reitmeier, & Goodloe, 2014).…
It is important to make an accurate diagnosis in this case as the risk of severe illness and treatment varies between an uncomplicated and a complicated UTI.1 The absent of classical presentation of loin pain and rigors would make acute pyelonephritis very unlikely. She was also haemodynamically stable on examination and showed no signs of urosepsis. Hence, based on this patient’s complaint of dysuria, frequency and suprapubic pain accompanied by urinalysis findings of leucocytes and nitrites; the most probable diagnosis is an uncomplicated UTI. Background UTI is one of the most common problems for which young women seek medical attention, accounting for nearly 25% of all infections.2 It is estimated that around one-third of women have had…
However, when a patient’s health status has improved, there are still a high number of catheters remaining indwelling leading to a higher instance of catheter-associated urinary tract infection (CAUTI). Evidence-based research on CAUTI has shown that the early discontinuations of Foley catheters are better for patient outcomes. According to Smakulski et al. (2015), CAUTI is a problematic in almost every healthcare facility, affecting just about every unit.…
Both guidelines, the CDC and NCGC both inform the readers that lack of research in the home setting is a challenge when assessing and addressing a standardized method of teaching and care for home urinary catheter patients in general. It is stated, “No evidence of surveillance of healthcare-associated infections (such as CAUTI) in the community is currently available.” (UK, 2012) The regulations that declare who can insert, maintain and troubleshoot urinary catheters also is confusing and not properly regulated.…
The physicians are accountable for utilisation of basic preventive procedures, and exert effective guidance in the encouragement of all infection prevention/clinical epidemiology (IPCE) policies and procedures. Nurses are at hand in all health care settings and can play a key role in modelling and promote evidenced- based infection control practices which will confirm the persistence of the quality of the care for patients (Smith J. M., 2009). Hence, the aim of this study was to detect the knowledge, attitude, and practice of physicians and nurses regarding infection control at Tanta University…
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 completely different.…
According to the Institute for Healthcare Improvement, due to evidence based practice on UTIs nurses now try to avoid using indwelling catheters to help prevent…
Introduction/Review of Literature Introduction Hospital acquired infections (HAI), also known as healthcare associated infections or nosocomial infections, are infections transmitted to patients while in a hospital or other healthcare facility. According to the Centers for Disease Control and Prevention (2015), there were approximately 722,000 patients suffering from hospital acquired infections in the United States in 2011 of whom 75,000 suffered fatalities. Accordingly, hospital acquired infections accounted for more deaths in 2011 than the 32,367 fatalities from motor vehicle accidents combined with the 41,374 fatalities from breast cancer in 2011 (Center for Disease Control and Prevention, 2014, September; U.S Department of Transportation,…