Research Synthesis Of Alcohol Caps

One of the main roles of the nurse is to ensure the best patient-centered care for each individual to achieve an optimal outcome. However, it is difficult to do this when nosocomial infections are an endless problem to this day all over the world. One problem that seems to have a significant impact in the health field is the reoccurring incidences of catheter associated urinary tract infections. Studies show that catheter urinary tract infections are recognized as the most frequent adverse event in the health care system, thus resulting in increased economic costs, mortality, and morbidity rates (Tillekeratne, 2014.) Although the incidences of nosocomial infections are slowly decreasing with time, there are still prevalent problems occurring

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

As common with past iterations, the update makes it possible to develop clinical recommendation practices based on the theoretical rationale, applicability and the effectiveness of the intervention, and scientific data. The recommendations usually range from those being implemented at the time of carrying out a particular treatment procedure on a patient during insertion of the central venous catheter to those related to institutional practices geared towards reducing the CLABSI. Central line infection impacts organizations as well as patients’ cultural background. This health problem has posed a great challenge to individuals and organizations that are forced to spend lots of money in finding proper treatment to those infected. Since central line infection is increasingly becoming common, attention is focused on developing preventive measure to reduce the rate of deaths in patients who develop the infections. Moreover, with the realization that central line infection can be curtailed through evidence-based practices, the prevention of these infections is becoming an attainable goal for many health facilities, health care systems as well as payers. These efforts underscore the need to successfully implement the CLABSI prevention initiatives across the globe through engagement in enlightenment of staff about central line infection and

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

Central line-associated bloodstream infections, or CLASBIs, are a common issue throughout all types of health care facilities. Each year in intensive care units and other acute care facilities, the Centers for Disease Control and Prevention estimates that more than 30,000 CLASBIs occur. These infections are

Berenholtz, S. M., Lubomski, L. H., Weeks, K., Goeschel, C. A., Marsteller, J. A., Pham, J. C., . . . Hines, S. C. (2014). Eliminating central line-associated bloodstream infections: A national patient safety imperative. Infection Control & Hospital Epidemiology, 35(1), 56-62. doi:10.1086/674384

CLABSI is the acronym for central line associated blood stream infection. CLABSI are the third leading cause of hospital acquired infection (HAI). Central line associated infections are life threatening and is a common risk factor associated with central venous catheters (CVC). Peripherally inserted central catheters are a common type of CVC used. Research is conducted to determine whether there is a benefit to reducing CLABSI with use of PICC lines that are coated with antimicrobials. This research compares the impact of chlorhexidine impregnated verses non- chlorhexidine PICC with the risk of CLABSI and VTE development in patients that are immune suppressed, critical care or trauma patients.

As mentioned above, there are a multitude of practices that are practice to decrease the prevalence of central line associated blood stream infections. To prevent central line associated bloodstream infections there are several steps before and during the insertion process as well as after the insertion of the line to decrease the risk of developing an infection. To begin with, it is important to avoid using the femoral vein for central venous catheter insertion is possible (Hsu, 2014). Avoiding the femoral vein is important because it is consider a dirty area of the body; therefore, the preferred site for the insertion of these lines is the subclavian vein because it is considered the area that is least likely to be infected. Furthermore,

In spite of the pronounced benefits that this technique has brought into health care, it has been associated with the risk of infections in the bloodstream that results from the microorganisms inhabiting the outer surface of the device or alternatively such microbes colonizing the fluid pathway during insertion of the device or while it is in use. As per Marschall et al. (2014), central venous catheters have been described to be the most frequent cause of health care-associated contagions in the bloodstream. Consequently, there has been increasing recognition to the fact that central venous catheters associated infections, as well as other health care-associated infections are preventable provided the described evidence-based practices

An intervention was done in a surgical intensive care unit to reduce the incidence of central line-associated bloodstream infections. The method of intervention was to create and utilize central line insertion and maintenance bundles. The hope, was that if all of the supplies needed were bundled together, then clinicians would use them appropriately. The maintenance kit included hand hygiene, catheter site dressing, hub care, and a daily review of the necessity of the line. The hub care consisted of 70% alcohol. Creation of the bundles, and training on how to use them, was done through the nurses and doctors on staff. There were regular in services held where nurses would teach how to utilize the kits. These

This paper will examine research on multidisciplinary methods used to prevent central line associated blood stream infections (CLABSIs). CLABSIs are a large contributor to increased healthcare costs and increased mortality rates. Research shows how the interventions included in a central line care bundle decrease the risk of CLABSIs. Evidence shows how important it is to target the micro-organisms that pose the biggest threat and how take action against those organisms. Through research a model based off of the Six Sigma Strategies have been shown to be an effective tool in decreasing the occurrence of CLABSIs and decreasing cost for hospitals. There will be discussion of appropriate nursing care that can be implemented into practice to help ward off these life threatening microbes.

With the original aim of CLABSI prevention aimed primarily at intensive care units, this new approach sets its sights on decreasing rates in hospital patients in general acute care settings where a reported 23,000 CLABSIs occurred in 2009. These statistics guided Teleflex Inc. to create a new FDA approved PICC in 2011 with both antimicrobial along with antithrombogenic effects. A California hospital that consistently utilizes evidence-based research conducted in-house research in 2014 to test the effectiveness of the new PICC and determine if it would truly decrease infecftion rates. This testing was done using an intervention group, whom had the antimicrobial PICC inserted, and a nonintervention group, whom had the standard PICC inserted. Both groups were predominantly equal in terms of gender, race, age, and medical status and both received equal treatment using the central line intervention bundle, including scheduled dressing changes every seven days or as needed, access devices changed every Monday and Thursday, the use of an alcohol impregnated cap on all ports, and the utilization of a line team. Results were impressive with the intervention group, having a total of 260 patients with a combined 2,124 line days, encountered 1 CLABSIs which equated to an infection rate of 0.47/1000 line days. The nonintervention group on the other

As a visionary researcher, the researcher viewed the discrepancy between the central-line-bundle guidelines and their actual implementation as a cause of the current numbers of central-line bloodstream infections (CLABSI). CLABSIs affect approximately thirty thousand and one hundred patients in intensive care units (ICUs) annually and cost thousands of dollars per episode (Health Research & Educational Trust, 2017). But most of the patients in ICUs need a central line which is a tube placed in a large vein to give medications or fluids. The researcher reviewed many qualitative and quantitative studies to examine the impact of adherence to central-line-bundles on the number of CLABSIs among adult patients in ICU. All studies presented central-line

In my present role of in-patient transplant coordinator, I round with the transplant surgical team daily. The interdisciplinary team is aggressively looking for opportunities to minimizing opportunistic infections for example: de-escalating antibiotics, removing bladder catheters, as well as removing central lines. If the patient is a hard stick, a peripherally inserted central catheter (PICC) is placed. A study by Rutkoff, (2014) mentioned that an integration of antimicrobial PICCs into the current infection prevention practices should be practiced for reduction central line associated blood stream infections.

However, one of the most critical advances to the prevention of central line-associated bloodstream is the identification of individual risk factors that are linked to this condition. They include long hospital stays prior to venous catheterization, heavy microbial colonization within the insertion site, prolonged duration of catheterization, and femoral or internal jugular vein insertion (Goode, Fink, Krugman, Oman & Traditi, 2011). Other simple preventive measures include: performing hand hygiene, using sterile gloves,