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prevention of central line infections
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The book outlines the important steps that make up the Quality Improvement (QI) processes. First you must identify the needs that are most important. Second a multidisciplinary team must be put together to review the needs that have been identified. Third data must be collected to assess the current situation being evaluated. The fourth step should be to create goals and quality indicators that can be assessed and evaluated. The fifth step is where you develop and place into practice the plan to achieve the desired outcome/ goals. Lastly data must be collected to assess the effectiveness in the change of practice, and to see of all goals have been met. The QI project that will be described in this analysis pertains to catheter related blood stream infections (CR-BSI). CR-BSI and the ability in which they can be prevented is a common focus in the healthcare industry. The Center for Disease Control (CDC) has reported that 5 CR-BSI per 1000 catheter days is the current rate of infection. This translates into 80,000 patients every year will acquire a CR-BSI. This infection can be introduced at the time of insertion, or by the way in which it is used and cared for. This report of 80,000 patients is only limited to studies based on patients in various Intensive Care Units. Current infection rates for medical surgical units, skilled nursing centers, home health, and ambulatory care patients does not exist. An estimate by many researchers would place the annual number of CR-BSI at 250,000 cases. The estimated deaths caused by CR-BSI at around 12-25% of the total infections. In addition to increased mortality the approximate cost per infection is $ 25, 000. (Posa, Harrison, & Vollman, 2006, p. 446) These numbers leave large room for impro... ... middle of paper ... ..., D. L., & Saint, S. (2004). Using maximal sterile barriers to prevent central venous catheter-related infection. American Jouranl of Infection Control, 32, 142-146. Orto, V., & Greene, L. R. (2006). Beyond the ICU: nursing’s role in decreasing central venous CR-BSIs. Retrieved June 10, 2010, from www.nursingmangement.com Posa, P. J., Harrison, D., & Vollman, K. M. (2006). Elimination of central line-associated bloodstream infections. Advanced Critical care, 17, 446-454. Shuman, E. K., Washer, L. L., Arndt, J. L., Zalewski, C. A., Napolitano, L. M., & Hyzy, R. C. et al. (2010). Analysis of central line-associated bloodstream infections in the intensive care unit after implementation of central line bundles. Infection Control and Hospital Epidemiology, 31, 551-553. Yoder-Wise, P. S. (2007). Leading and managing in nursing (4th ed.). St Louis, MO: Mosby Elsevier.
BioPatch, and alternatives like Tegaderm CHG, are an important first step in helping prevent catheter-related bloodstream infections (CBIs). As CBIs rank among the most frequent and potentially lethal nosocomial infections, the need for a device to cut down infections at the insertion site has increased. The growing numbers of infections has driven companies to consider a three-tiered approach: a maximal aseptic barrier at insertion, proper site maintenance, and hub protection. With BioPatch and alternative products catheter sites receive that maximal aseptic barrier to prevent bacteria growth.
The topic that I chose is interventions used to reduce catheter-associated urinary tract infections (CAUTI). This type of infection is acquired from the use of a urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital-acquired infections caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced into the body, it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder.
Rello, J., Kollef, M., Diaz, E., & Rodriguez, A. (2000).Infectious diseases in critical care. (2nd ed., pp. 352-
Rello, J., Kollef, M., Diaz, E. and Rodriguez, A. (2010). Infectious Diseases in Critical Care. 2nd ed. Boston: Springer US.
We as a nurse should be aware about the causes, risk factors and complications about the nosocomial infections associated to catheterization. As it is found in various surveys and research that the catheter associated UTI is one of the most common and frequently occurring type of hospital acquired infection due to various risk factors and causes, we have to follow the guidelines and strategies for the prevention and management of those infection. Catheter associated UTI is the patient safety indicator by which we can improve the health care and provide patient safety and quality care. There is a vital role of nurses in improving health care system which is possible by following the principles and guidelines of assessment, surveillance and nursing management of the patient.
There are approximately 4.5 HAIs for every 100 hospital admissions; the annual direct costs on the healthcare system were estimated to be $4.5 billion dollars. Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter; between 15-25% of hospitalized patients receive urinary catheters during their hospital stay. The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter. Central line-associated bloodstream infections (CLABSIs) result in thousands of deaths each year and billions of dollars in added costs to the U.S. healthcare system, yet these infections are preventable. According to the CDC, CLABSIs cost hospitals thirty to fifty thousand dollars per infection and CAUTIs cost eight to ten thousand per infection. My project will help reduce the cost of CAUTIs and CLABSIs, by training nurses how to properly document the insertion and discontinuation of central lines and urinary catheters thus providing accurate data that can be reported to the appropriate agencies (see Appendix A). Inaccurate data causes the numbers reported to CMS to be skewed resulting in a high numbers of infections reported due to the calculations being inaccurate from improper
All Nurses are performing invasive procedures with PEIs that are of greatest concern and happens most dangerous because they may transferring bacteria, protozoa, viruses and prions (20), transmit blood-borne diseases such as hepatitis B and C viruses and HIV (13, 21). Long working hours and not having enough sleep during the night shift also put practitioners at risk for needle stick injuries (1). The needle can slip and injure the healthcare worker (1, 3-5). These injuries can lead to significant stress and anxiety for HCWs and their families (6). Unfortunately, it is evaluated that half of all NSIs go unreported (12, 21). NSIs cure in any environment where sharps are encountered poses a risk (2, 22). Based on report published by The World Health Organization (WHO) in 2000, NSIs was responsibility Incidence 66,000 hepatitis B, 16,000 hepatitis C, and 1,000 HIV infections (12, 13, 23). The important of factors affected on needle stick Injuries including hollow-bore needle, deep penetration and visible blood on the needle (24,
Sedor, J., & Mulholland, S. (1999). Hospital acquired urinary track infections associated with the indwelling catheter. Urology Clinic of North America, 26(4), 821-828.
Holmes, A., Castro-Sanchez, E., & Ahmad, R. (2015). Guidelines in infection prevention: Current challenges and limitations. British Journal Of Healthcare Management, 21(6), 275-277 3p.
Central Line Associated Bloodstream Infections (CLABSI) kills about 33,000 Americans each year, the total cost of treating CLABSI is one billion dollars annually. The cost to treat each patient affected is about 16000 dollars. With patients being discharged home with central lines, CLABSI can occur in the home setting too and not just hospitals. The case study presented in this paper discusses the statistics associated with CLABSI in discharged patients with central lines, and the efforts being made such as education and training in combatting the issue of bloodstream infection.
The infection control plays an important role for the prevention from bacteria and other microorganism that may affect the condition of the patient.
In the article “Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections”, by AJN, the author states how catheters are causing urinary tract infections among adult patients in healthcare facilities. The purpose of healthcare workers reading the article, “Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections”, is to provide better care to their patients with a Foley catheter and to try and prevent a urinary tract infection associated with a Foley catheter. This article affects the nursing process by presenting it with further education, and affects the patients by giving them a better catheter experience.
Ye-benes, J., Vidaur, L., Serra-Prat, M., Sirvent, J., Batlle, J., Motje, M., . . . Palomar, M. (2004). Prevention of catheter-related bloodstream infection in critically ill patients using a disinfectable, needle-free connector: A randomized controlled trial. American Journal of Infection Control, 32(5), 291-295. doi: 10.1016/j.ajic.2003.12.004
This section of the paper examines the current literature as it pertains to the current research related to catheter-associated urinary tract infection (CAUTI). A urinary tract infection is an infection that refers to any parts of the urethra, bladder or kidney. This type of infection is the most common type of healthcare-associated infection as reported by the National Healthcare Safety Network and 15-25% of hospitalized patients who received a catheter during their hospitalization (NHSN, 2017). A study by Nicolle (2014), hypothesized that urinary tract infection is attributed to the use of the indwelling catheter and is one of the most common infection in healthcare. Nicolle (2014) stipulates that 70-80% are related to a catheter used.
Quality management is a structured approach to organizational management that seeks to improve the quality of products and services through continual refinements in response to continuous feedback (Gharakhani, 2013). Thus, it necessitates the consistent application of the appropriate human and technical processes, tools and techniques. A strategic quality strategy will be effective only through long-term commitment and dedicated application by executive management and all employees (Gharakhani, 2013). The purpose of this paper is to converse on implementing successful quality improvement practices within organizations to help achieve viable quality management. Further, this paper also highlights the conditions that must be in place such as