Central venous catheter

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    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…

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    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…

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    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…

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    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…

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    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…

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    Clinical Fall Assessments

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    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…

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    Airway Management Case

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    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…

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    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…

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    lateral to the junction of the middle and medial thirds of the clavicle. The needle is advanced toward the tip of the contralateral index finger, which is placed in the 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…

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    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…

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