Peripheral venous catheter

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…

one 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…

spread of bacteria from an unknown colony. The study observed that catheter dressings treated with chlorhexidine have a 52% reduction in bacterial infections as compared to other dressings treated with alcohol. Furthermore, this type of dressing is able to avoid colonization of the bacteria in infected areas by about 40% (Rickard & Ray-Barruel, 2009). Gilles and colleagues performed a Cochrane systematic review relating to central venous line dressings that was first published in 2003,…

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…

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)”…

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…

Placement of Catheter Tip The catheter tip should be placed 3–4 cm above the junction of the superior vena cava and the right atrium [48]. Equipment Selection and Ultrasound guidance…

Central venous access devises (CVADs) are very important in healthcare practice. There are many issues related to patient’s safety concerning the use of CVADs in a hospital setting. Catheter occlusion is a substantial impediment to delivery of care. It occurs at a rate ranging between 3% and 79% and is responsible for many negative outcomes such as drug extravasation, loss of patency, device replacement, device removal and hospital visits. These negative outcomes may delay treatment process,…

the last thing you want to have while in the hospital. An infection that can happen is a bloodstream infection, in which bacteria enters though the site of insertion or one of the hubs on the catheter and ends up in your bloodstream. This paper will discuss Kaiser Permanente’s policy on central venous catheter, also known as a central line, care and dressing change, and whether it follows the current evidence-based practice on preventing bloodstream infection in patients who have them…