دورية أكاديمية
Reducing Central Line-Associated Bloodstream Infections With a Multipronged Nurse-Driven Approach.
| العنوان: | Reducing Central Line-Associated Bloodstream Infections With a Multipronged Nurse-Driven Approach. |
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| المؤلفون: | Hoke LM; Linda M. Hoke is a unit-based clinical nurse specialist and serves on the cardiac progressive care unit's nurse leadership team at the Hospital of the University of Pennsylvania, Philadelphia., Mathen GC; Gracy C. Mathen is a nurse educator on the cardiac progressive care unit at the Hospital of the University of Pennsylvania., Beckett E; Ellen Beckett is a clinical nurse on the cardiac progressive care unit at the Hospital of the University of Pennsylvania. |
| المصدر: | Critical care nurse [Crit Care Nurse] 2024 Aug 01; Vol. 44 (4), pp. 27-36. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Critical-Care Nurses Country of Publication: United States NLM ID: 8207799 Publication Model: Print Cited Medium: Internet ISSN: 1940-8250 (Electronic) Linking ISSN: 02795442 NLM ISO Abbreviation: Crit Care Nurse Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: [Bridgewater, N.J. : Simms Associates, c1980- |
| مواضيع طبية MeSH: | Catheter-Related Infections*/prevention & control , Catheter-Related Infections*/nursing , Catheterization, Central Venous*/nursing , Catheterization, Central Venous*/adverse effects , Critical Care Nursing*/standards , Quality Improvement*, Humans ; Female ; Male ; Middle Aged ; Adult ; Cross Infection/prevention & control ; Cross Infection/nursing ; Aged ; Infection Control/methods ; Infection Control/standards ; Aged, 80 and over ; Central Venous Catheters/adverse effects |
| مستخلص: | Background: Despite implementation of central catheter bundles, central line [catheter]-associated bloodstream infections (CLABSIs) remain a preventable hospital-acquired infection. Local Problem: A new population of patients with pulmonary artery catheters was introduced to the cardiac progressive care unit, increasing central catheter days, device use, and CLABSI rate. Methods: A quality improvement project was conducted. Nursing staff implemented a standardized central catheter rounding process 3 days a week to critically assess all central catheter dressings, deter-mine the necessity of each central catheter, and educate patients on the importance of keeping central catheter dressings clean, dry, and intact. Data were collected during central catheter rounds for each patient, entered in an electronic survey tool via mobile devices, and analyzed. Results: From July 2019 through June 2022, a total of 2692 rounds were conducted for 707 individual patients with 3064 central catheters. Main interventions were dressing management, monitoring insertion site bleeding that extended beyond edges of the chlorhexidine gluconate pad, treating patients' allergies to products, and maintaining sustainability within the unit. Central catheter rounds decreased the CLABSI rate from 1.86 to 0.0 despite the continued increase in central catheter days. Conclusions: Central catheter dressing assessment, intervention, and education help reduce CLABSIs. Central catheter rounds are an important adjunct to the CLABSI bundle. A central catheter dressing management algorithm helps nurses decide when to change a dressing and which type of dressing to use. (©2024 American Association of Critical-Care Nurses.) |
| تواريخ الأحداث: | Date Created: 20240731 Date Completed: 20240731 Latest Revision: 20240731 |
| رمز التحديث: | 20240801 |
| DOI: | 10.4037/ccn2024493 |
| PMID: | 39084669 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey | تدمد: | 1940-8250 |
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| DOI: | 10.4037/ccn2024493 |