The Need For Intravascular Catheters Are Evidently Clear
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The need for intravascular catheters are evidently clear in modern day medical practices especially in the intensive care setting (ICU). Despite the necessity of such catheters, their use places patients at risk of developing complications such as infections, thrombophlebitis, endocarditis and a variety of other metastatic infections. In the hospital setting an estimated 250,000 bloodstream infections (BSI) associated to CVC occur annually, thus the need for proper aseptic skin care. The widely used antiseptic for cleansing CVC sites in the United States was iodine. However several studies have shown that cleansing CVC sites with 2% aqueous chlorhexidine gluconate lowered BSI when compared to iodine. (O’Grady et. al., 2011)
Change Model…show more content… (Stevens, 2012)
Define the Scope of the EBP
According to the CDC an approximate 80,000 BSI cases occur in ICUs annually in the United States, with an estimated 250,000 cases in hospitals as a whole. The mortality rate associated in this case is around 12-25% per infection, causing a cost of $25,000 per episode for the health care system. In this writers facility aseptic techniques are emphasized, including the use of chlorhexidine instead of iodine. The impact of BSI via CVC are not only patient centered but cost the healthcare system an approximate $34,508-$56,000 per case to treat each infection.
Members that would be included on the team to prevent CVC associated BSI are the physician whose responsibility is to ensure proper procedures and practices are carried out during insertion, such as aseptic techniques. After insertion of the CVC then it is the job of the radiologist to ensure proper placement of the tube using X-Ray imaging. After insertion and confirmation of placement then the nurse takes over, performing duties such as dressing changes and assessment of the site for complications. Also part of the team is the certified nursing assistant (CNA) who spends more time with the patient than anyone else on the team who can report complications earlier to the nurse.
Determine Responsibility of Team Members These members are important to the team because they each at one time or another has an interaction with