Venous ulcer

Introduction Throughout the past two years, I have been taught the importance of using evidence-based practice (EBP) to implement the best possible interventions in order for my patients to achieve desirable outcomes. EBP emphasizes the need for redesigning health care that is effective, safe, and efficient for patients. Research in nursing is significant for further improvement of the patients that we are taking care of and it is essential to keep this in mind when we start our nursing…

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…

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…

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…

Reflection This research study was very time consuming and thought provoking. With the Pre-Capstone and Capstone courses behind me, I can now reflect on what I have learned and accomplished through the entire process. Having completed this research study, I have acquired more knowledge about the subject of research, in addition to myself as an individual. I have also brought to light the strengths and weakness of the study as a whole. I have experienced and learned a great deal by going…

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…