Catheters

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…

Southworth and three other RN co-worker in their article; The Journey to Zero Central Catheter–Associated Bloodstream Infection Culture Change in an Intensive Care Unit. take a step to bring their CLABSI rate to zero: Transparency and communication with all levels of personnel are imperative to success. Everyone is accountable for making…

Bloodstream infections are a common outcome for individuals who have a central line catheter. A catheter-associated bloodstream infection is very serious, but most of the time is can be treated successfully with antibiotics. It is known that bloodstream infections cost healthcare systems millions of dollars and results in thousands of patient deaths each year, yet most of these infections are preventable. The Institute of Medicine (IOM) published a report in 2000 and noted that a central…

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…

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…

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…

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…