Final presentation research week 6[1]
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Central Line Associated Blood Stream Infection Prevention in non-ICU
SettingsErica Badillo, Natalie Farquharson, DeAngel Jones, Heather
Smith
NUR/518
March 3, 2014
Cindy Boyer
Central Line Blood Stream Infections
• 250,000 CLABSIs occur annually
• Lead to higher mortality and morbidity rates
• Increase lengths of stay
Recommendations for CLABSI prevention in any setting
• Continuing education
• Quality Assurance Intravenous tubing protocols
Sterile technique
Recommendations for CLABSI prevention in any setting
• Nurse-Patient Ratios
• Care Bundles Hand Hygiene
Chlorhexadine dressings
Catheter hub disinfection
Removal of lines when medically permitted
TRUSTWORTHINESS & VALIDITY
• Credibility
• Transferability
• Dependability
TRUSTWORTHINESS & VALIDITY
• Validity
Conflict in research findings
• Gaps exists in the area of CLABSI’s in::
1. specificity of research
2. dedicated educational department
3. educational process
Confusion
• Confusion exists in the area of:
1.responsibility for central line maintenance
2. documentation of central line care
Research Utilization Process
Identification of the problem
In-depth literature review
Evaluation of previous studies to determine applicability of findings
Applicability of Findings
• Professional nurses share an obligation to review current literature
• Allows for clarification of the problem
• Evidenced-based standardized care
• Prevention initiatives, protocols, guidelines
• Goal- to improve patient care and patient outcomes
Assessing Applicability of the Findings
• The interventions and prevention strategies are applicable to multiple clinical settings
Findings were consistent in
multiple studies• It is expected that these interventions will
be just as effective at preventing infections in other settings
• A strong leadership team is vital to ensure staff compliance
• Many facilities have adapted a CLASBI prevention checklist.
Bundle interventions have been shown to
significantly decrease infection rates
Applying the research findingsEducatio
nSupport Complia
nce
Procedure carts
Hand hygiene
Aseptic technique
Checklists
Guidelines
IV teamDaily need assessments
Avoid femoral site
Chlorhexadine
Line maintenance
References:
• Centers for Disease Control and Prevention. (2014). Central Line-Associated Bloodstream Infection: Resource of Patients and Healthcare Providers. Retrieved February 2, 2014 from: http://www.cdc.gov/HAI/bsi/CLABSI-resources.html
• Kallen, A., Patel, P., O’Grady, N. (2010). Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society; 51 (3), 335-41.
• Morrison, T. (2012). Qualitative analysis of central and midline care in the medical/surgical setting. Clinical Nurse Specialist; 26(6):323-8. doi:10.1097/NUR.0b013e31826e3f2a
• The Joint Commission. (2010). Preventing Central Line-Associated Infections. A Global Challenge, A Global Perspective. Retrieved from http://www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf
References: