Portal venous system

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 attitudes of registered nurses on specific units regarding evidence-based…

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…

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 resuscitation leading to significant time delays (Dubick, 2000). Vascular access is the…

to 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…

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, updated and republished in 2010, six studies were assessed, providing four central venous line dressing comparisons. In the analysis for the highly permeable transparent polyurethane (HPTP) dressings compared with gauze and tape, results showed that there were no…

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…

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…

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…

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…

were pain or tenderness at the site of insertion, with a severity of 2 on a 10-point scale; The nurse is able to observe erythema 1 cm around the insertion site; swelling extending 1 cm around the insertion site; purulent discharge; or palpable a venous cord beyond the catheter tip (Maki, 2013). It is very important for the nurse to maintain a patent IV site of each patient and be observant to undesired changes. Phlebitis can causes sepsis, additional diagnostic tests to determine the cause, and…