Peripherally inserted central catheter

I chose the topic MRIs. I will discuss the following topics, what an MRI is, what is an MRI used for, and How should you prepare for an MRI and the risks and benefits. Magnetic resonance imaging (MRI) is an examination that uses a magnetic field and three dimensional detailed anatomical images to take pictures of the inside of the body. In many cases, MRI gives different information about structures in the body that can be seen with an ultrasound, X-ray, or even a computed tomography scan or as we know it as CT scan. An MRI can also show problems that you cannot see from other image systems (Magnetic Resonance Imaging (MRI) 1). MRI scanners are predominantly well suited to image the non-bony parts or soft tissues of the body. They differ from…

Peripherally Inserted Central Catheter Dressing Changes The focus of this paper is to provide the importance of evidenced based practice (EBP) in the nursing field and to compare the policy of Kaiser Permanente San Jose Medical Center’s topic of peripherally inserted central catheter (PICC) dressing changes to multiple evidenced based practices. Within the past decades, changing a PICC line dressing has changed over time. Different antiseptic agents and techniques of cleaning the site are…

ABSTRACT The use of peripherally inserted central catheter lines for central venous access in patients has increased in recent years despite a lack of evidence regarding safety. A recent survey of invasive catheter practices among patients in the United States found that 37% of terminally ill patients use peripherally inserted central catheters (PICC lines) as part of their treatment protocol. The goal of this paper is to inform the reader about the safety, teaching, and care of peripherally…

improper care during or after insertion of a central line is 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…

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…

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…

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…

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…

vein into the femoral vein directly to central circulation. The delivery of medications via the IO route is comparable to medications administered via the intravenous route (Cullen, 2012). Their is proven benefits in the setting of paediatric emergencies providing fluid and drug administration as fluids infused through the IO reaches central venous circulation rapidly and via a non-collapsible vein. This route permits a wide variety of fluids and all medications (Torres, 2013). This route is…

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…