Central venous catheter

Standardizing central venous catheter care: hospital to home The guideline for Standardizing central venous catheter care: hospital to home was obtained from the National Guideline Clearinghouse. This guideline standardizes care of the central line to ensure continuity of care and decrease complications. Central line infection and thrombosis cause thousands of deaths each year and increases medical costs (CDC). Proper care of the central line utilizing antibacterial dressings, passive disinfection caps and pulsatile flushing can decrease infection. Properly obtaining blood specimens can result in faster identification of bacteria and proper intravenous (I.V.) antibiotic administration. Thrombosis can be decreased with proper flushing and monitoring. Patients transitioned to home from the hospital with a central line need to understand their role in self-care and reporting of complications. Theoretical Foundation Dorothy Orem’s theory of self-care speaks to a person’s knowledge of potential health concerns (Petiprin, 2016). One of…

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…

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)” CLABSI can be defined as a Central Line-Associated Blood Stream Infection (Giddens, 2014, p. 469). These infections are generally seen…

An End Stage Renal Disease (ESRD) patient in her 30’s has sickle-cell anemia. She has only dialyzed intermittently as an out-patient for a total of a month since admission almost three months ago. She has been hospitalized numerous times in that short duration. The dialysis clinic operates within a certain guideline that prompts movement from having the least recommended dialysis access to one that is considered the most effective and efficient. The patient has a central line as an access. The…

The fifth evidence based recommendation this author would suggest to improve patient safety and quality care would be to reduce central line infections. Due to the patient acuity on 10 Harbert most of the patient require a central line. If a central line gets infected the hospital stay is increased and another surgical procedure could be needed. In a study performed by Donley and Reese (2015), found that a central line associated blood stream infection bundle decreased infection rates from 9.6…

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 patients are immunocompromised, so we need…

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…

Summery Research indicates that Central lines are the ultimate choice of intravenous access for a critically ill patient for more than a century. Critical care patients who need reliable access for multiple infusions or invasive monitoring, oncology patient who receives long-term chemotherapy, and home health patients for long-term antibiotic therapy are depended on availability of such line. The gift of having a reliable access does not come without consequences. Besides the usual…

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…

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…