Catheter

Outline of Case and Objectives  43 year old male  Previous laparotomy about 10 years ago due to gunshot abdomen  Presenting now with a single stab wound to the right epigastric region, pericardial effusion confirmed by ultrasound. Explorative laparotomy done- patient has right ventricular injury and right sided diaphragmatic injury  The patient was intubated and ventilated  The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained…

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia with a significant impact in morbidity and mortality (1). One of the well-established treatments for symptomatic atrial fibrillation is catheter-based ablation (2). AF ablation is a complex interventional procedure associated with potential risk of thromboembolic complications as periprocedural stroke or transient ischemic attack (TIA) and cardiac tamponade (1, 2). Approximately, from 0 to 7 % of AF patients undergoing…

Catheter placement is extremely vital for any animal when they are about to go under anaesthetic, this allows the immediate effect of Intravenous drugs and fluids to be administered at the specific times needed and reduces stress in the animal. In Jess’s case placing a catheter was very important, due to her age it allowed instant venous access; should there have been any complications during surgery. Generally catheters are placed in the medial saphenous veins in both cats and dogs to allow…

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…

We discussed the importance of wanting to reduce CLABSIs and that it is a great topic of choice, seeing as how most oncology patients have a peripherally inserted central catheter (PICC), Central line, or a Hickman catheter. It is essential to keep in mind that these lines are accessed multiple times throughout the day and the more you access them the more likely it is to induce bacteria in the lines. One major component to think about it how oncology…

Infections are a common risk factor for any patient in the hospital. The occurrence of an infection is an even greater concern when the patient receives an invasive procedure, such as placement of a Central Venous Access Device. With proper technique and licensed staff placing a central venous access device, the risk for complications can be minimized. Champions for Central Line Care is a journal that explains “the team approach for reducing CLABSIs. (Reed, Brock, & Anderson, 2014, p. 40)”…

that is considered the most effective and efficient. The patient has a central line as an access. The clinic as it stands is not meeting the Centers for Medicare and Medicaid Services or CMS guideline (Compton, 2005) to replace her central venous catheter (CVC) or central line access within a ninety day period. If not contraindicated, a permanent access…

A1/A1a. Problem/ Explain The identifying problem is Decreasing Central Line Bloodstream Infections in the Acute Care Setting by the Use of Multimodal Disinfectant Protocols. Collaboration was initiated with the assistance of the Hospital Chairperson of the Practice Council to initiate change in practice. Central Line Associated Bloodstream Infections (CLASBI) can result in financial burden and/or morbidity in the acute care setting. The financial burden associated with treating Central Line…

Children’s of Alabama has medication precautions, fall risk precautions, and a “Do Not Use” list in place to protect patients. SBAR is used to effectively communicate patient and nursing needs to physicians. Pharmacy and the nursing staff verify medications before the medication is ever administrated to patients, to reduce errors. Call-lights are in place for patients to alert employees to wants and needs. Nursing Informatics help implement and educate employees on electronic charting.…

Discussion Vascular access, along with airway management is a standard of emergency care, and is an essential part of cardiopulmonary resuscitation in many groups of patients. Peripheral vascular access is the most efficient means of gaining vascular access as it’s induces minimal trauma, is the safest method of gaining access to venous circulation. It may however be difficult in stressful situations and require several attempts despite its widespread usage failure may result in prehospital…