Decrease Clabsi in the Nicu

| UNIT 4222- 264 THE PRINCIPLES OF INFECTION PREVENTION AND CONTROL | | | |

Prevent Bloodstream infections associated with Central lines: The goal is to educate staff about such infections during the hiring process and throw-out their employment in the facility. Implement the use of disinfection in the

A literature review confirms that the CDC has noted that there was reduction by 50% Central Line-Associated Bloodstream Infection (CLABSI). The changes were witnessed between 2008 and 2014. Additionally, there was 13 percent reduction in incidences of MRSA bacteremia witnessed in 2011, and later in the year 2014. The implementation of the strategies and efforts from the ACA to reduce the incidence of HAIs has delivered a strong definitive prevention method or effort indicated by the ACA to lower the overall occurrence of HAIs (CDC, 2016).

Elimination of HAI’s are a top priority for many healthcare related organizations and as such, the reduction of certain types of HAIs have been achieved. On the national level, the HAI Progress Report states that there has been, “Au 46 percent decrease in central line-associated bloodstream infections (CLABSI) and a 19 percent decrease in select surgical site infections (SSIs) between 2008 and 2013” as well as “an 8 percent decrease in hospital-onset MRSA bacteremia and a 10 percent decrease in hospital-onset C. difficile infections between 2011 and 2013” (CDC, 2015).

Healthcare-associated infections from invasive medical devices are linked to high morbidity, mortality, and costs worldwide. Especially in central line–associated bloodstream infection (CLABSI) or catheter-related bloodstream infection (CRBSI) and

Checking in to the hospital comes with a heavy price tag, and sometimes you get more than what you bargained for. As highly trained doctors, nurses, and staff make their way through the hospital, they carry with them microbial agents of disease. Although regarded as centers for treatment and prevention, hospitals are also known to harbor nosocomial, healthcare-associated, bacterial infections. These infections can be a result of overused or inappropriately used antibiotics and the breaching of infection containment policies by patients and staff. Though health-care-associated infections have been decreasing, one infection inciting nosocomial bacterial, Clostridium difficile has been rampant. It is important that inefficiencies in health-care be met with stringent efforts for prevention as they may lead to distressing financial, emotional, and medical repercussions.

Central line associated blood stream infection, better known as CLABSI, are on a continual rise in critical patients. CLABSI are implemented to help improve vascular access in patients where venous access is minimal or reduced. They help to maintain intraveneous access to deliver medications to the body and in case of emergency. Central lines are not given to every patient admitted into the hospital, only those who are critical. The purpose of this paper is to provide reasoning and evidence behind my research strategy for this particular topic. In the critical populations, how does not using chlorhexidine containing dressing compare to using the dressings influence the central line associated blood stream infection rates over two years.

As the CEO of a hospital with the highest Central-Line Associated Blood Stream Infections (CLABSI), I am approaching the problem from an evidence-based standpoint. My first step is to engage each team member, especially senior leadership, and ensure that everyone is on board to reduce CLABSI occurrences. In a formal, mandatory meeting, I am giving all staff members a detailed overview of the plan as well as an achievable goal for the upcoming fiscal year. While outlining my expectations, I will welcome the infection control team to discuss successful evidence-based strategies and practices.

Hospital acquired infections (HAI) are inflecting a tremendous impact on healthcare safety and medical costs. The purpose of this qualitative analysis is to evaluate current research and evidence based practice on central line acquired blood stream infections (CLABSI) in the neonatal intensive care unit (NICU). Further, this paper will examine how the closed medication line system can help decrease of a CLABSI event. Neonates are a vulnerable population with a low immune suppression where an infection could simply mean life or death. This particular topic is crucial; with the continual rise in pre-term neonates, this topic is crucial to eliminate CLABSI 100% in the NICU environment

duplicate entries, the research for this task was narrowed down to twelve articles relevant to the

CLABSI prevention is a standard of practice for those who provide care CVCs within an adult ICU and throughout the various units. However, infection rates remain high despite the care that is provided. This provides a clear need for education for those who are in direct care of those with a CVC. Utilizing the ACE Star Model, the discovery of a decrease in CLABSIs due to an education program was observed. In summary, the education program provided proper technique, antisepsis solutions, hand hygiene, and the location of insertion site significantly reduced CLABSI presence within adult ICUs. The creation of an education program as the driving force to change the current practice is to be implemented for those with direct contact of care for

After microorganisms enter the patient’s body they can go to the lungs and cause pneumonia. Central line-bloodstream infections occur when microorganism enter the bloodstream by the intravenous line. Microorganisms are transfer into the blood stream by inadequate hand hygiene or improper intravenous fluid, tubing, and site care practice. Multidrug-resistant organisms can cause infections of the blood, skin, or organ systems. These infections can arise due to the overuse or misuse of antibiotics, which can result in the microorganisms becoming more resistant to antibiotic therapy. Methicillin-resistant Staphyloccocus aureus and Clostridium difficile are examples of this kind of infection. Health care employees need to know the different types of hospital acquired infections and how they are spread to be able to effectively prevent them.

CLABSI have serious consequences, impacting the patient in a variety of ways, including increased mortality, suffering, and increased length of hospitalization. Joint Commission’s national safety goals for 2016 complements IOM’s aims to provide safe care. Joint Commissions goal NPSG.07.04.01 to implement evidence-based practices to prevent CLABSI (Joint

The study design comprises of both qualitative and quantitative approaches for exploring the current practices of cleaning the resuscitation device among the providers in union level settings (Family Welfare Visitor) and in communities (Community Skilled Birth Attendant) to find out if that practice adequately meets the requirements of standard infection prevention guideline and its associated gaps and challenges. The study involves a direct observation of simulation of the preparatory activities prior to conduction of deliveries and cleaning and disinfection process for the neonatal resuscitation device, pre and post cleaning collection of specimens from parts of the device (bag-mask and sucker) and lab-test of specimens.

Nurses should also have patients demonstrate hand washing technique. Teaching patients about infusion therapy and how to avoid the risk of intravenous infection will help calm their fears and decrease their risks of obtaining an infection. Technology today can help by having patients either record a video of the steps on their smart phone or by writing the steps down. This can decrease patient’s anxiety and stress while increasing confidence. While this topic has been around for many years, both medical professionals and patients need to be educated and strict compliance needs to be followed in order to avoid intravenous and central line infections. Further research is needed in order to discover additional ways of decreasing intravenous and central line infections in the home