Central Line Bundle Brochure - Achieving Excellence in Patient Care Brochure Highlights and Contact Information
|
|
- Cory Simpson
- 6 years ago
- Views:
Transcription
1 Central Line Bundle Brochure - Achieving Excellence in Patient Care Brochure Highlights and Contact Information Goal: Preventing central line infections Focus: Central Line Bundle Hand Hygiene - Epi-Clenz Gel: MSC (4 oz. bottle, 24ea/cs) MSC (4 oz. bottle, breezia fragrance, 24ea/cs) MSC (16 oz. pump 12ez/cs) MSC097034N (1.5 oz. flip cap w/ neck strap, 48ea/cs) Epi-Clenz Foam: MSC (8 oz. bottle, 24ea/cs) MSC (1.5 oz. bottle, 48ea/cs) MSC (16 oz. bottle, 12ea/cs) Sterillium: MSC (1000mL, 8ea/cs) Maximal Barrier Precautions: Full Body Drape: DYNJP4117 (10ea/cs) Maximal Barrier Precautions Kit: DYNJP4120 (6ea/cs) Chlorhexidine Skin Antisepsis: Central Line Change Tray: DYND75222 (40ea/cs) DYND75223 (40ea/cs) Optimal Catheter Site Selection: Full Body Drape -One Drape-One Solution for Multiple Access Points: DYNJP4117 (10ea/cs) DYNJP4120 Kit (6ea/cs) Daily Review of Central Line Necessity: Daily Review-Intravenous Access Record is included in the Brochure along with Policy & Procedure, Competency Statement, Skills Checklist, and Central Line Insertion Checklist A Draping Application guide is also available through Medline University at Contact Information: For more information on ordering the Central Line Drape or the Central Line Insertion Kit please contact Frank Czajka at (847) or fczajka@medline.com For more information on ordering hand hygiene products please contact April Niemi at (847) or aniemi@medline.com For more information on ordering our Central Line Dressing Change Tray please contact Jim Moorman at (847) or jmoorman@medline.com For clinical support, please contact Alecia Cooper, RN, MBA, CNOR, at (847) or acooper@medline.com
2 Achieving Excellence in Patient Care Achieving Excellence in Patient Care JCAHO 100K Lives lives Campaign saved SCIP JCAHO 100K lives saved SCIP Lives Campaign Call Toll-Free MEDLINE Medline Industries, Inc. One Medline Place Mundelein, IL Proxima Full Body Central Line Drape for Maximal Barrier Protection One Drape-One Solution MediClip Surgical Clippers 2005 Medlline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc. MKT205258/LIT MKT205251/LIT #174/1M #424/1M
3 Achieving Excellence in Patient Care Three Important National Initiatives 100,000 Lives Campaign: Six Changes for Improving Care 1. Deploy rapid response teams at the first sign of patient decline. Monitor vital signs, blood oxygen, urine output, mental function 2. Prevent deaths from heart attack by delivering evidence-based care for acute myocardial infarction. Aspirin, beta-blocker, ACE-inhibitor/ARB, reperfusion, smoking cessation 3. Prevent adverse drug events (ADEs) by implementing medication reconciliation. Verify, clarify, and reconcile patient medications 4. Prevent central line infections by implementing the Central Line Bundle. Hand hygiene, maximal barrier precautions, skin antisepsis, catheter site selection, daily review 5. Prevent surgical site infections by delivering the correct perioperative care. Antibiotics, hair removal, glucose control, normothermia 6. Prevent ventilator-associated pneumonia by implementing the Ventilator Bundle. Head of bed elevated, daily assessment, PUD prophylaxis, DVT prophylaxis 100k lives JCAHO 2006 National Patient Safety Goals for Hospitals Improve the accuracy of patient identification. Improve the effectiveness of communication among caregivers. Improve the safety of using medications. Reduce the risk of health careassociated infections. Accurately and completely reconcile medications across the continuum of care. Reduce the risk of patient harm resulting from falls. Surgical Care Improvement Project (SCIP): Four Target Areas 1. Surgical site infections Antibiotics, blood sugar control, hair removal, normothermia 2. Perioperative cardiac events Use of perioperative beta-blockers 3. Venous thromboembolism Use of appropriate prophylaxis 4. Ventilator-associated pneumonia Head of bed elevated, rapid weaning protocol, PUD prophylaxis
4 THE CENTRAL LINE BUNDLE PRACTICE GUIDELINES FIVE COMPONENTS OF CARE PRODUCT LISTS & INFO ITEM NUMBERS ACHIEVING EXCELLENCE IN PATIENT CARE Hand Hygiene Epi-Clenz instant hand sanitizer with ethyl alcohol kills 99.9% of common germs. It is available in convenient gel and foam versions, both with added moisturizers that leave hands feeling soft. Sterillium Rub is another alcohol-based hand antiseptic that works with out water to kill bacteria. It also contains emollients for skin protection and is available in an automatic touch-free dispenser. Epi-Clenz gel is MSC097030, MSC097031, MSC097032, MSC097033, MSC097034n Epi-Clenz foam is MSC097040, MSC097041, MSC Sterillium is MSC GOAL: Preventing central line infections FOCUS: Central Line Bundle Hand Hygiene Maximal Barrier Precautions Skin Antisepsis Catheter Site Selection Daily Review Maximal Sterile Barrier Precautions Chlorhexidine Skin Antisepsis Optimal Catheter Site Selection Daily Review of Central Line Necessity Medline offers a full-body drape with multiple access points and peel-off fenestration covers for versatility and ease of use. (See the enclosed information sheet on the Proxima central line drape.) Maximal Sterile Barrier Precautions Kit: Bouffant cap, face mask, sterile gown, CSR wrap, and Full Body Drape are also available from Medline in a kit. ChloraPrep friction applicators provide a convenient way to scrub insertion sites with a 2% chlorhexidine/ 70% isopropyl alcohol solution, which has been proven more effective than povidone-iodine and is recommended by the CDC as well as the 100,000 Lives Campaign Proxima Full Body Central Line Drape Two for jugular, subclavian or femoral Two for brachial, antecubital, or radial And PICC Lines Daily Central Line Review Sheet (See the enclosed sheet inside the pocket folder) DYNJP4117 Full Body Central Line Drape DYNJP4120 Maximal Sterile Barrier Precautions Kit Available February 2006 DYND75222 Central Line Change Tray DYND75223 Central Line Change Tray DYNJP4117 Full Body Central Line Drape Approximately 250,000 central venous catheter-related bloodstream infections occur each year in U.S. hospitals, with associated mortality of 12% to 25%. In ICUs, these infections cause an estimated 14,000 to 28,000 deaths per year. Additional cost to the healthcare system is approximately $25,000 per infection. On average, a bloodstream infection adds seven days to a hospital stay. TARGETED BY PATIENT CARE INITIATIVES The Institute for Healthcare Improvement s 100,000 Lives Campaign names prevention of central line infections as one of six changes for improving care. The JCAHO 2006 National Patient Safety Goals for Hospitals include reduce the risk of health care-associated infections as goal #7. A PLAN FOR PREVENTION The 100,000 Lives Campaign recommends implementing a set of evidence-based interventions, together called the Central Line Bundle, to reduce the occurrence of central line infections. POTENTIAL IMPACT OF INTERVENTIONS A four-year study in Pennsylvania found a 68% reduction in bloodstream infections among ICU patients after implementing a group of care components similar to the central line bundle. SUPPORT FROM CDC AND APIC: Recommendations in the CDC s Guidelines for the Prevention of Intravascular Catheter-Related Infections are similar to those in the Central Line Bundle. According to APIC, The elements of this central line bundle are identical to those stressed and taught by the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC). References CDC. Guidelines for the Prevention of Intravascular Catheter-Related Infections. MMWR 2002:51(RR-10). IHI. Getting Started Kit: Prevent Central Line Infections. APIC. Preventing Central Line-Associated Bloodstream Infections CDC. Reduction in Central Line-Associated Bloodstream Infections Among Patients in Intensive Care Units Pennsylvania, April 2001 March MMWR 2005:54(40).
5 PRODUCT INFORMATION Proxima Full-Body Central Line Drape An important part of Maximal Barrier Precautions in the fight against central line infections. The role of maximal barrier precautions in preventing central line infections: The use of maximal barrier precautions (i.e., cap, mask, gown, gloves, and full-body drape) when inserting central lines is supported by research and recommended by current patient care initiatives. A study of cancer center patients found that the use of maximal barrier precautions during central venous catheter insertion reduced the risk of bloodstream infections. When only gloves and a small drape were used, the risk of infection was 6.3 times greater. 1 CDC guidelines recommend aseptic technique including the use of a cap, mask, sterile gown, sterile gloves, and a large sterile sheet for the insertion of CVCs [central venous catheters]. 2 The 100,000 Lives Campaign also recommends maximal barrier precautions, including covering the patient from head to toe with a sterile drape, with a small opening for the site of insertion. 3 One Drape One Solution Multiple Access Points For Convenience And Versatility Two for jugular, subclavian or femoral Two for brachial, antecubital, or radial One Drape One Solution All Access Sites The Proxima central line drape: A maximum sterile barrier with added features for convenience. Provides full-body coverage in accordance with current guidelines for preventing central line infections. Multiple access points for convenience and versatility. Clear peel-off fenestration covers are easy to open and allow insertion sites prior to positioning. 77" (196cm) visualization of Catheter-related septicemias are six times lower when maximum sterile barriers are used during central line insertion. 1 Large reinforced absorbent area surrounding access points. Reversible design allows positioning for femoral, subclavian peripheral access sites. DYNJP " (305cm) or additional Exclusive clear peel-off fenestration covers 1 Raad, II, Hohn DC, Gilbreath BJ, et al. Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. Infection Control and Hospital Epidemiology. 1994;15(4 Pt 1): Centers for Disease Control and Prevention. Guidelines for the Prevention of Intravascular Catheter-Related Infections. MMWR 2002:51(RR-10). 3 Institute for Healthcare Improvement. Getting Started Kit: Prevent Central Line Infections.
6 POLICY & PROCEDURE PREVENTION OF CENTRAL LINE INFECTIONS BY IMPLEMENTING THE "CENTRAL LINE BUNDLE": HAND HYGIENE MAXIMAL BARRIER PRECAUTIONS SKIN ANTISEPSIS CATHETER SITE SELECTION DAILY REVIEW POLICY STATEMENT: To reduce the patient's risk of acquiring an intravascular catheter-related infection following insertion of a central venous or pulmonary catheter through the use of a "Central Line Bundle" protocol that outlines appropriate hand hygiene, maximal sterile barriers, chlorhexidine skin antiseptic, catheter site selection, and daily review. PURPOSE: Because central line catheters provide direct vascular access to patients for the administration of fluids/medications, blood products, blood sampling, and hemodynamic monitoring, they disrupt skin integrity, making infection with bacteria and/or fungi possible. Infection may spread to the bloodstream, causing sepsis with hemodynamic changes, organ dysfunction, and ultimately death. 1 Studies suggest that bloodstream infections (BSIs) are a serious complication affecting between 87,500 and 350,000 patients annually and are associated with high mortality and excess costs. 2 HAND HYGIENE: Caregivers should wash hands (or use an alcohol-based waterless cleanser) before and after inserting or otherwise handling an intravascular catheter, as well as before and after palpating insertion sites. MAXIMAL BARRIER PRECAUTIONS: Before placing a central line, caregivers should don a cap, mask, sterile gown, and gloves. In addition, they should cover the patient s entire body with a sterile drape, leaving only a small opening at the insertion site. Skin Antisepsis: Skin should be scrubbed with a solution containing 2% chlorhexidine/ 70% isopropyl alcohol and allowed to dry completely before the site is punctured. on the reverse side: Catheter Site Selection Daily Review Maximum Sterile Barrier Procedure
7 Catheter Site Selection: The subclavian vein is the preferred site for nontunneled catheters in adults and should be used whenever possible instead of the jugular or femoral site. Daily Review: Lines that are no longer clearly needed should be removed promptly. Maximal Sterile Barrier Procedure: 3 1. Place surgical cap on head to cover all hair and then place surgical mask. 2. Cleanse hands according to hospital recommended policy and procedure. 3. Aseptically don surgical gown. 4. Aseptically don surgical gloves. 5. Prep catheter insertion site with ChloraPrep. 6. Place full-body sterile drape to cover patient aseptically while maintaining the sterile field. References: (1) Earsing, KA, Baugher-Hobson, D, White, KM. Preventing Central Line Infection. Nursing Management, October (2) Braum, BI, Kritchevsky, SB, et al. Preventing Central Venous Catheter-Associated Primary Infection. Infection Control and Hospital Epidemiology, December (3) Association of Perioperative Registered Nurses Standards, Recommended Practices and Guidelines. Denver, CO, 2005.
8 COMPETENCY STATEMENT & SKILLS VALIDATION TOOL COMPETENCY: CENTRAL LINE BUNDLE COMPETENCY STATEMENT Good hand hygiene before central line insertion, combined with proper aseptic technique during catheter placement, has been proven to provide protection against infection. Maximal sterile barrier precautions include a surgical cap, mask, sterile gown, sterile gloves, and a full-body sterile drape during the insertion of central line catheters. Proper skin antisepsis is critical prior to insertion of central line catheters to reduce local skin flora and to prevent rapid rebound growth of microorganisms on the skin s surface following catheter insertion. The site at which a catheter is placed influences the subsequent risk for catheter-related infection and phlebitis. Daily review of central lines is a necessity, with documentation in the medical record. MEASURABLE CRITERIA Good hand hygiene can be achieved through the use of either a waterless, alcohol-based product or an antibacterial soap and water with adequate rinsing. Implementation of maximal sterile barrier precautions during the insertion of central line catheters has been shown to substantially reduce the incidence of catheter-related bloodstream infections as compared with sterile precautions (e.g., sterile gloves and small drape). Optimal skin antisepsis is achieved when skin is prepared with a solution containing 2% chlorhexidine/ 70% isopropyl alcohol and allowed to dry completely before the site is punctured. Authorities recommend that central venous catheters be placed in a subclavian site instead of a jugular or femoral site to reduce the risk of infection. A daily review of the catheter patency and insertion site is necessary, combined with the daily question, "Is this catheter necessary or can it be removed?" RATIONALE The purpose of good hand hygiene is to remove debris and transient microorganisms from the hands, to reduce resident microbial count to a minimum, and to inhibit rapid rebound growth of microorganisms. Personnel within a sterile field should wear caps, masks, and sterile gowns and gloves to prevent microorganisms from being transferred to the catheter insertion site during the procedure. Infection can occur due to a high microbial count at the catheter insertion site. The density of skin flora at the catheter insertion site is a major risk factor for catheter-related blood stream infections. Lines that are no longer clearly needed should be removed promptly to eliminate the potential for catheterrelated bloodstream infections.
9 SKILLS VALIDATION CHECKLIST: CENTRAL LINE BUNDLE EMPLOYEE S NAME: DATE: REVIEWED DEMONSTRATED TASK DATE/INITIALS DATE/INITIALS COMMENTS 1. Identify self 2. Identify patient 3. Explain procedure to patient 4. Obtain signature for informed consent. 5. Wash Hands 6. Gather necessary equipment: Central line bundle kit Central line catheter kit 7. Provide for Privacy (pull curtain, close door) 8. Position patient to allow for visualization of surgical site. 9. Assess patient's skin at insertion site prior to skin preparation. Assess for moles, warts, rashes, hair, and other skin conditions at the surgical site. 10. Remove any hair if ordered by physician. 11. Document skin assessment in the patient's record. 12. Assemble equipment and verify supplies. 13. Apply surgical hat and mask and secure in place. 14. Wash hands with approved antiseptic agent. 15. Don a sterile surgical gown and gloves aseptically. 16. Prep procedure site with ChloraPrep. Allow 30 sec. prep time & 30 sec. dry time for a dry site & 2 min. prep time and a 1 min. dry time for a moist site. 17. Apply full-body drape aseptically to establish the maximal barrier. Remove tab from insertion site. 18. Maintain a sterile field during the catheter insertion. 18. Order followup Radiology images if ordered by physician. 19. Utilize sterile technique when applying the dressing to the catheter insertion site. 20. Date the dressing site. 21. Document procedure and patient tolerance in the medical record. 22. Add IV site to appropriate flowchart(s).
10 CENTRAL LINE INSERTION CHECKLIST
11 INTRAVENOUS ACCESS RECORD Line type Location Site Appearance Procedure 1. Peripheral 1. Left Hand 1. Site unremarkable 1. I.V. Start/Restart 2. PICC 2. Right Hand 2. Slightly pink or painful 2. Dressing change 3. Midline 3. Left forearm 3. Painful: slightly red 3. Cap Change 4. Multi Lumen 4. Right forearm 4. Painful: erythema, swelling 4. Central Line placement 5. Port-a-cath 5. Left upper arm 5. Purulent drainage 5. Discontinued line 6. Dialysis 6 Right Upper Arm 6. Serous drainage 6. De-clot therapy 7. Hickamn 7. Left Chest 7. Serosanguanous drainage 7. Tubing change 8. Swan Ganz 8. Right chest 8. Sutures intact 8. Port-a-cath access 9. Cordis 9. Left neck 9. Cording palpable 9. Port-a-cath de-access 10. Other 10. Right neck 10. Other 10. I.V. securement applied (see comments) 11. Left foot (see comments) 11. Other 12. Right foot (see comments) 13. Other (see comments) Date/Time Line Type Location IV Access Site Procedure Signature Next of Line Gauge Attempts Appearance Activity
12 MAXIMUM BARRIER DRAPING APPLICATION GUIDE DYNJP4117 Proxima Full Body Central Line Drape STEP 1 Open the package containing the Full Body Drape using aseptic technique and place the drape on an established sterile field. The sterile field can be established by using the inside wrapper containing the drape. It is recommended that the person applying the drape have also adhered to hand hygiene and full barrier precautions, including hat, mask, sterile gown, and sterile gloves prior to applying the drape. The applicator should then note the specific orientation instructions stamped onto the drape. STEP 2 Remove the carrier paper from the back of the insertion fenestration that will be utilized to insert the catheter. STEP 3 Assure the proper orientation of the drape over the patient according to the designated catheter insertion site and place the folded drape over the patient at midline. STEP 4 Unfold the drape to the right and to the left as indicated on the drape to cover the patient's body and then unfold the drape to the head and then to the foot. Assure the patients entire body is covered and that the insertion site is exposed for proper catheter placement STEP 5 Remove the plastic film covering the selected insertion fenestration to provide access. You are now ready for insertion of the central line catheter.
Central Line Bundle Education. National Patient Safety Goal Preventing Central Line Infections 2010
Central Line Bundle Education National Patient Safety Goal 07.04.01 Preventing Central Line Infections 2010 Central Line Associated Bloodstream Infections CAN and DO kill our patients. THE GOOD NEWS They
More informationImplementation Guide for Central Line Associated Blood Stream Infection
Implementation Guide for Central Line Associated Blood Stream Infection March 27, 2013 Contents 1. Introduction... 3 2. Central Line Associated Blood Stream Infection Prevention Evidence-Based Practices...
More informationChapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis
chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis
More informationInfection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!
Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent
More informationDescribe the impact of CLABSI on patients and their families. Discuss three methods of reducing CLABSIs
Describe the impact of CLABSI on patients and their families. Discuss three methods of reducing CLABSIs Explore the essential elements of maintaining decreased CLABSIs 1 2001-43,000 CLABSIs In ICUs 2009-18,000
More informationWHY IMPLEMENT CENTRAL LINE INSERTION BUNDLES
WHY IMPLEMENT CENTRAL LINE INSERTION BUNDLES WHY IMPLEMENT A CENTRAL LINE BUNDLE? Hospital-acquired infections (HAIs) are the fourth largest killer in America. The death toll from HAIs is estimated at
More informationASEPTIC TECHNIQUE LEARNING PACKAGE
ASEPTIC TECHNIQUE LEARNING PACKAGE Staff Name:... Date:... Table of Contents What is Aseptic technique? 3 Core infection control components 3 Key parts 5 References 6 Aseptic technique questionnaire 7
More informationThe Nurse s Role in Preventing CLABSI
The Nurse s Role in Preventing CLABSI This course has been awarded one (1.0) contact hour. This course expires on February 28, 2020 Copyright 2017 by RN.com. All Rights Reserved. Reproduction and distribution
More informationCENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI)
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) A Step-by- Step Approach 1 Evidence Based Recommendations for the Prevention of CLABSI 2013 CLABSI FACTS An estimated 41,000 central line-associated
More informationLightning Overview: Infection Control
Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How
More informationManagement of Central Venous Access Devices. Institute for Healthcare Improvement (IHI)
Management of Central Venous Access Devices Institute for Healthcare Improvement (IHI) Purpose The purpose of this e-learning module is to help educate patient care providers on the Institute for Healthcare
More information1. Nurses may remove non-tunneled catheters upon the order of a physician. Physicians remove tunneled catheters.
Removal of Non-Tunneled Central Venous Catheter (CVC) (Approved Aug 15, 2011/Rev Dec 16, 2011/Rev Jun 13, 2012) Vascular Access Guideline Table of Contents This procedure is posted on the BC Provincial
More informationPROCEDURAL SAFETY CHECKLIST
PROCEDURAL SAFETY CHECKLIST Before any medical or patient care procedure, review checklist together with the other members of the procedural team. This checklist can be used by any health professional
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationIdentify patients with Active Surveillance Cultures (ASC)
MRSA CHANGE STRATEGIES The following tables include change strategies proven to be effective in healthcare settings. Implementing these changes through current or new processes may result in reducing healthcare
More informationNURSING POLICIES, PROCEDURES & PROTOCOLS
Page 1 of 10 NURSING POLICIES, PROCEDURES & PROTOCOLS CENTRAL VENOUS ACCESS DEVICE (CVAD) HEMODIALYSIS CATHETERS: DRESSING CHANGE, INITIATING OR DISCONTINUING AN INFUSION NO.: 00056 (Formerly NSG2146)
More informationAssisting with the Bedside (Percutaneous) Removal of Chronic Peritoneal Dialysis Catheters
Assisting with the Bedside (Percutaneous) Removal of Chronic Peritoneal Dialysis Catheters ORIGIN DATE: APRIL 27, 2009 REVISED DATE: NOVEMBER 2013 This procedure is posted on the BC Provincial Renal Agency
More informationSTANDARDIZED PROCEDURE FEMORAL VENOUS BLOOD DRAW (Adult, Peds)
I. Definition The Femoral venous blood draw (FVBD) is the procedure of performing a needle stick into the femoral vein for the purpose of drawing blood work that will assist in lab monitoring. II. Background
More informationOutline 1. Infection Prevention Program Bloodborne Pathogens/Exposure Prevention & Management Standard Precautions 2. Hand Hygiene 3. Isolation Precau
Erlanger Infection Prevention Resident and df Fellow Orientation June 2011 1 Outline 1. Infection Prevention Program Bloodborne Pathogens/Exposure Prevention & Management Standard Precautions 2. Hand Hygiene
More informationCentral Vascular Catheter Insertion Checklist Standard Operating Procedure. Perform optimal care
Central Vascular Catheter Insertion Checklist Standard Operating Procedure Perform optimal care Improving process to improve outcome This checklist is adapted with kind permission from the checklist devised
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: HEMODIALYSIS TEMPORARY CATHETER (INSERTION, DRESSING CHANGE, REMOVAL, MEDICATION AND BLOOD DRAWS, DISCONTINUATION OF MEDS AND IV FLUIDS)
More informationPreventing ICU Complications. Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care
Preventing ICU Complications Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care Overview Catheter related bloodstream infection Ventilator associated pneumonia
More informationSee Policy #1302 (Nursing Student Privileges and Limitations) for full details. Central Line dressing care, declotting and discontinuation may ONLY
To assure a standardized knowledge base related to CVL Care and CLABSI prevention, ProMedica requires all Instructors/Faculty on adult and pediatric units to complete this educational module. This content
More informationMaking Dialysis Safer for Patients Coalition
National Center for Emerging and Zoonotic Infectious Diseases Making Dialysis Safer for Patients Coalition Christi Lines, MPH NANT Symposium February 2017 Outline Introduction to the Coalition Coalition
More informationNortheast Hospitals Infection Control Policy and Procedure Manual
Northeast Hospitals Infection Control Policy and Procedure Manual Subject: Prevention/Control of Healthcare Associated Infections (HAI) Date Effective: 8/07 Date Revised: 3/11 Key Contact: Infection Prevention
More informationNOSOCOMIAL INFECTION : NURSES ROLE IN MINIMIZING TRANSMISSION
NOSOCOMIAL INFECTION : NURSES ROLE IN MINIMIZING TRANSMISSION DR AHMAD SHALTUT OTHMAN JAB ANESTESIOLOGI & RAWATAN RAPI HOSP SULTANAH BAHIYAH ALOR SETAR, KEDAH Nosocomial infection Nosocomial or hospital
More informationHHVNA Infusion Therapy MIDLINE CATHETER
CONSIDERATIONS: 1. This midline procedure includes procedural steps for: a. Catheter Insertion b. Flushing c. Site care and dressing change d. Cap change e. Blood Draw f. Management of complications 2.
More informationWyoming STATE BOARD OF NURSING
David D. Freudenthal Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us
More informationHealthcare-Associated Infections
Healthcare-Associated Infections A healthcare crisis requiring European leadership Healthcare-associated infections (HAIs - also referred to as nosocomial infections) are defined as an infection occurring
More informationPeripherally Inserted Central Catheter
UW MEDICINE PATIENT EDUCATION Peripherally Inserted Central Catheter Understanding your PICC procedure and consent form Please read this handout before reading and signing the form Special Consent for
More informationSARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY
PS1006 SARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY TITLE: INFECTION PREVENTION FOR INTRAVASCULAR Job Title of Responsible Owner: Executive Director, Quality POLICY #: EFFECTIVE DATE: REVIEWED/REVISED
More information2018 BSI QIA. Kick off Part 1. Annabelle Perez Quality Improvement Director
2018 BSI QIA Kick off Part 1 Annabelle Perez Quality Improvement Director Outline 2018 BSI QIA Overview What does it really mean to follow the CDC Core Interventions Next Steps 2018 BSI QIA Overview BSI
More informationNorth York General Hospital Policy Manual
TITLE: ASEPTIC TECHNIQUE (NON-OPERATING ROOM) CROSS REFERENCE: ORIGINATOR: Manager, IPAC APPROVED BY: Medical Advisory Committee ORIGINAL DATE APPROVED: Dec. 13, 2011 Operations Committee ORIGINAL DATE
More informationEvidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration
Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration Written by J. Hudson Garrett Jr., PhD, Senior Director, Clinical Affairs, PDI January 09, 2013 Historical perspective Hand hygiene
More informationCenters for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions
Centers for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions You have agreed to help the Network by doing a very important Hand Hygiene Audit. We thank you for
More informationHospital Acquired Conditions. Tracy Blair MSN, RN
Hospital Acquired Conditions Tracy Blair MSN, RN A hospitalacquired infection (HAI), also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility Hospital
More informationInfection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases
Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,
More informationReducing Harm Improving Healthcare Protecting Canadians PREVENT CENTRAL LINE INFECTIONS. Getting Started Kit. June 2012
Reducing Harm Improving Healthcare Protecting Canadians PREVENT CENTRAL LINE INFECTIONS Getting Started Kit June 2012 www.saferhealthcarenow.ca Safer Healthcare Now! We invite you to join Safer Healthcare
More informationUsing Care Bundles to Reduce Catheter Associated Blood Stream Infections in the NICU. Dr David Ng Paediatric Medical Officer Sarawak General Hospital
Using Care Bundles to Reduce Catheter Associated Blood Stream Infections in the NICU Dr David Ng Paediatric Medical Officer Sarawak General Hospital Outline of Presentation Introduction Definition of CABSI
More information2017 Nicolas E. Davies Enterprise Award of Excellence
2017 Nicolas E. Davies Enterprise Award of Excellence Agenda Memorial Hermann Health System Overview Journey to High Reliability Case study review CLABSI Prevention 2 Memorial Hermann Health System Woodlands
More information393 PICC INSERTION USING ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1
393 ULTRASONOGRAPHY AND MICRO INTRODUCER TECHNIQUE 06/10/03 1 POLICY: General Information: 1. RN s validated to insert PICCs with the additional training in the use of ultrasonography (U/S) and microintroduction
More informationPersonal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN
Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%
More informationYou and your Totally Implanted Vascular Access Device (TIVAD) - Portacath
You and your Totally Implanted Vascular Access Device (TIVAD) - Portacath Nursing A guide for patients and carers Contents What is a TIVAD?... 1 Why is a TIVAD necessary?... 2 How a TIVAD is inserted...
More informationPatient Safety. If you have any questions, contact: Sheila Henssler Performance Improvement/Patient Safety Coordinator Updated:
Patient Safety If you have any questions, contact: Sheila Henssler Performance Improvement/Patient Safety Coordinator 615-7018 Updated: 2013-05-03 Learning Objectives In this presentation, you will learn:
More informationIV 03 CRAIG HOSPITAL POLICY/PROCEDURE
CRAIG HOSPITAL POLICY/PROCEDURE Approved: NPC, P&P 12/06; P&T 2/07; Effective Date: 10/78 IC, MEC 03/07; NPC, P&P 08/09; MEC 9/09 P&T 12/10; MEC, P&P 01/11, 04/11; NPC, P&P 06/12, 06/15, 12/15 ; NPC, P&T,
More informationOPERATING ROOM ORIENTATION
OPERATING ROOM ORIENTATION Goals & Objectives Discuss the principles of aseptic technique Demonstrate surgical scrub, gowning, and gloving Identify hazards in the surgical setting Identify the role of
More informationFEATURE. Back to. A Fresh Look at Asepsis BASICS. Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION
FEATURE Back to A Fresh Look at Asepsis BASICS Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION PATIENT SAFETY A Back to Basics series should start with the principles of asepsis. What does asepsis
More informationQuality and Patient Safety Department
Quality and Patient Safety Department Overview and Outcomes Report 29 Quality and Patient Safety Department Overview and Outcomes Report 29 Table of Contents 1 Letter from the Medical Director 2 Department
More informationSTANDARDIZED PROCEDURE HEPATIC ARTERY INFUSION OF CHEMOTHERAPY (Adults, Peds)
I. Definition Hepatic arterial infusion (HAI) of chemotherapy is accomplished by a small drug delivery system or pump that is implanted in a subcutaneous pocket in the lower abdomen. The pump reservoir
More informationCLABSI Prevention Hardwiring Improvement
CLABSI Prevention Hardwiring Improvement Brian Koll MD, FACP, FIDSA Executive Director, Infection Prevention Mount Sinai Health System Professor of Medicine, Icahn School of Medicine September 29, 2014
More informationNEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment
More informationINFECTION PREVENTION AND CONTROL
INFECTION PREVENTION AND CONTROL NATIONAL SYMPOSIUM ON ANTIBIOTIC STEWARDSHIP & INFECTION PREVENTION AND CONTROL - Right Drug, Right Dose, Right Duration, Right Frequency ASP 2016 January 23rd Hotel Crown
More informationBundle Me Up! Using Central Line Bundles to Decrease Infection
Bundle Me Up! Using Central Line Bundles to Decrease Infection Organization Name: Peninsula Regional : Acute Care Hospital Medical Center Contact Person: Regina Kundell Title: Dir, Women s and Children
More informationCENTRAL VENOUS LINES: REMOVAL
[Type text] KINGSTON HEALTH SCIENCES CENTRE Kingston General Hospital site CENTRAL VENOUS LINES: REMOVAL LEARNING GUIDE FOR REGISTERED NURSES Prepared by: Nursing Education Services Date: 1993 December
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS)
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS) STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 04/91 5/05, 3/08 DEPARTMENTAL
More informationInfection Prevention and Control
Infection Prevention and Control Infection Control in the Healthcare Setting Chain of Infection Hand Hygiene Hospital Acquired Infections Isolation Exposures Tuberculosis Chain of Infection Most Common
More informationCLABSI: Beyond the Policy and Procedure
CLABSI: Beyond the Policy and Procedure This course has been awarded one (1.0) contact hour. This course expires on July 31, 2017. Copyright 2014 by RN.com. All Rights Reserved. Reproduction and distribution
More informationPulmonary Care Services
Purpose Audience To provide infection control guidelines for pulmonary care personnel at UTMB. All Therapists/Technicians are required to adhere to the following guidelines to prevent exposure of patients
More informationMid-line Vascular Access Device Policy (Adults) and Procedures/Guideline
Mid-line Vascular Access Device Policy (Adults) and Procedures/Guideline October 2016 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationPractice Guideline: Approval Date: May 11, 2017
Page 1 of 7 1. PURPOSE To provide a safe, standardized, evidence-informed process, for Central Vascular Access Device (CVAD) dressing changes. This practice guideline does not include dialysis catheters.
More informationCENTRAL IOWA HEALTHCARE Marshalltown, Iowa
CENTRAL IOWA HEALTHCARE Marshalltown, Iowa CARE OF PATIENT POLICY & PROCEDURES Policy Number: 4.37 Subject: Implanted Venous Access Device (Infus-A-Port), Nursing Management Of (Indwelling Vascular Access
More informationTranslating Evidence to Safer Care
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
More informationAn Educational Intervention to Increase CLABSI Bundle Compliance in the ICU. A thesis presented by. Shelby L. Holden
Shelby Holden 1 An Educational Intervention to Increase CLABSI Bundle Compliance in the ICU A thesis presented by Shelby L. Holden Presented to the College of Education and Health Professions in partial
More informationTHE JOURNEY TO CLINICAL INDICATION: TIME TO MOVE THE NEEDLE
THE JOURNEY TO CLINICAL INDICATION: TIME TO MOVE THE NEEDLE Michelle DeVries, BS, MPH, CIC Senior Infection Preventionist Methodist Hospitals Gary, IN Michelle DeVries is a paid consultant of Ethicon US,
More informationNEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment
More informationOf Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points
Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.
More informationSafer Healthcare Now! Instructions for Data Entry and Submission Using Measurement Worksheets
Instructions for Data Entry and Submission Using Measurement Worksheets SHN Central Measurement Team January 30, 2009 Table of Contents Section 1. General and Background Information... 2 CAMPAIGN BACKGROUND...
More informationSTANDARDIZED PROCEDURE CENTRAL LINE PLACEMENT and TEMPORARY NONTUNNELLED CENTRAL VENOUS DIALYSIS CATHETER INSERTION (Adult, Peds)
I. Definition: This protocol covers the task of central (venous) catheter placement and temporary nontunnelled central venous dialysis catheters by the Advanced Health Practitioner. The purpose of this
More informationSTANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017
Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related
More informationArrow. Understanding Your Choice for Vascular Access. A patient guide to vascular access based on vessel health and preservation model
Arrow Understanding Your Choice for Vascular Access A patient guide to vascular access based on vessel health and preservation model Table of Contents Vessel Health and Preservation is a set of rules that
More informationOlutoyin Abitoye, MD Attending, Department of Internal Medicine Virtua Medical Group New Jersey,USA
Olutoyin Abitoye, MD Attending, Department of Internal Medicine Virtua Medical Group New Jersey,USA Introduce the methods of using core measures to compare quality of health care US hospitals provide Have
More informationHow to Prevent a Central Line Associated Bloodstream Infection or CLABSI
Procedure/Treatment/Home Care Si usted desea esta información en español, por favor pídasela a su enfermero o doctor. Name of Child: Date: How to Prevent a Central Line Associated Bloodstream Infection
More informationInformation for Patients Central Venous Catheter (Haemodialysis Catheter)
Information for Patients Central Venous Catheter (Haemodialysis Catheter) Going Home with a Haemodialysis Catheter? Important facts you must know. Haemodialysis Treatment 29/07/2018 Page 1 In order to
More informationBRINGING THE PERIPHERY INTO FOCUS
BRINGING THE PERIPHERY INTO FOCUS RISKS ASSOCIATED WITH PERIPHERAL IVS Russ Olmsted, MPH, CIC, FAPIC Director, Infection Prevention & Control; Trinity Health, Livonia, MI This educational activity is brought
More informationSE5p, CLABSI Education.pdf. Central Line Education: Focus on CLABSI 2009
Central Line Education: Focus on CLABSI 2009 1 Why are you here today? 2 2 3 3 4 4 Opportunities for Blood Stream Infections R/T Central Lines A Central Line is the highway onramp to the circulatory system
More information1. Infection Control, Centers for Disease Control and Prevention (CDC). (2002). Guideline for hand hygiene in health-care settings
HOSPITAL CORPSMAN SKILLS BASIC (HMSB) MAY 8 Checklist (PCL) Clinical Skill: Intravenous Therapy Circle One: Initial Evaluation Re-Evaluation Command: A. INTRODUCTION Upon successful completion of this
More informationINFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT
Of, INFECTION CONTROL POLICY DEPARTMENT OF RADIOLOGY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT GENERAL The Department of Radiology adheres to the Duke Infection Control policies and the DUMC Exposure Control
More informationJoint Commission NPSG 7: 2011 Update and 2012 Preview
Joint Commission NPSG 7: 2011 Update and 2012 Preview Pharmacy OneSource Webinar June 1, 2011 Louise M. Kuhny, RN, MPH, MBA, CIC The Joint Commission Objectives Upon completion of this program, participants
More informationErlanger Infection Control Program. Resident Resident Orientation and. and
Erlanger Infection Control Program Resident Resident Orientation Orientation and and Bloodborne Bloodborne Pathogen Pathogen Review Review 2008-2009 2009 1 Outline 1. Healthcare associated infections 2.
More informationPOLICY & PROCEDURE POLICY NO: IPAC 3.2
POLICY & PROCEDURE POLICY NO: IPAC 3.2 SUBJECT SUPERCEDES August 2007, July 2008 S 1of 5 APPROVAL: Infection Prevention & Control Committee DATE: September, 2010 Professional Advisory Committee DATE: January
More informationAll About Your Peripherally Inserted Central Catheter (PICC)
All About Your Peripherally Inserted Central Catheter (PICC) General Information Intravenous (IV) therapy is the delivery of fluid directly into a vein. An intravenous catheter is a hollow tube that is
More informationASEPTIC TECHNIQUE POLICY
SECTION 3b ASEPTIC TECHNIQUE POLICY INFECTION CONTROL MANUAL Read in conjunction with: o Hand hygiene policy (also section 3) o Standard (Universal) Precautions policy (section 4) o Decontamination policy
More informationRight Sizing Healthcare-Associated Infection Prevention Measures for Critical Access Hospitals. Bonnie M. Barnard, MPH, CIC
Right Sizing Healthcare-Associated Infection Prevention Measures for Critical Access Hospitals Bonnie M. Barnard, MPH, CIC Objectives Describe the features of critical access hospitals (CAHs) Describe
More informationInstructions to use the Training Films in education sessions on health careassociated infections and hand hygiene for health-care workers and
Instructions to use the Training Films in education sessions on health careassociated infections and hand hygiene for health-care workers and observers HAND HYGIENE SCENARIOS User instructions (1) The
More informationRecommendation II. Recommendation I. Who s on Your Team? Recommendation III
Infection Prevention In the Surgical Suite Janie Kinsey, RN, CASC Administrator, St. Luke s South Surgery Center President, Kansas Association of Ambulatory Surgery Centers Objectives Recommendation I
More informationHealthcare-Associated Infections: What all doctors must know and do
Policy Group on Healthcare-Associated Infection Healthcare-Associated Infections: What all doctors must know and do June 2011 1 2 The Importance of Healthcare-Associated Infections 1(a-d) Healthcare associated
More informationMARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa
MARSHALLTOWN MEDICAL & SURGICAL CENTER Marshalltown, Iowa CARE OF PATIENT POLICY & PROCEDURES Policy Number: 4.37 Subject: Implanted Venous Access Device (Infus-A-Port), Nursing Management Of (Indwelling
More informationMIDLINES/EXTENDED DWELL
MIDLINES/EXTENDED DWELL Peripheral venous access devices 3-8 inserted within 1.5 above or below antecubital fossa, tip terminates below axilla Therapies 2-4 weeks ideally, if no complications may extend
More informationEcolab Hand Hygiene Program Improve Compliance, Reduce the Risk of HAIs, Increase Staff and Patient Satisfaction
Ecolab Hand Hygiene Improve Compliance, Reduce the Risk of HAIs, Increase Staff and Patient Satisfaction A Partner You Can Count On While others may claim to offer a complete program, Ecolab is the only
More informationInfection Prevention and Control
Infection Prevention and Control University Hospital Infection Prevention and Control Department Information Melissa Widman ULH Infection Prevention & Control Data Specialist Sarah Bishop Manager of Infection
More informationSURGICAL ASEPTIC TECHNIQUE AND STERILE FIELD
Guideline for asepsis for invasive surgical procedures conducted in Community-based Health Care Settings The surgical aseptic technique and sterile field guideline provides information, support and evidence-based
More informationPeripherally inserted central catheter (PICC line) Information to accompany consent
Peripherally inserted central catheter (PICC line) Information to accompany consent Exceptional healthcare, personally delivered What is a PICC line? PICC stands for peripherally inserted central venous
More informationHaving a portacath insertion in the x-ray department
Having a portacath insertion in the x-ray department This leaflet provides information about a portacath insertion, including the benefits, risks and any alternatives. It also explains what you can expect
More informationOrganization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating
Organization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating Room Project Description: The purpose of this project is
More information2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction
2014 Partnership in Prevention Award November 21, 2014 12:00-1:00PM EST Introduction Don Wright, MD, MPH Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion) U.S. Department
More informationCarbapenemase Producing Enterobacteriaceae (CPE) Prevention and Management Toolkit for Inpatient Areas
Carbapenemase Producing Enterobacteriaceae (CPE) Prevention and Management Toolkit for Inpatient Areas This toolkit includes examples advice leaflets and forms which may be helpful for use by teams or
More informationInfection Control: You are the Expert
Infection Control: You are the Expert The engaged participant will be able to: List Recognize Identify Three most frequently cited deficiencies Two ways to make hand washing safer Most important practice
More informationPeripherally Inserted Central Catheter (PICC)
University Teaching Trust Peripherally Inserted Central Catheter (PICC) IV Team 0161 206 0459 All Rights Reserved 2017. Document for issue as handout. Contents l What is a PICC? l Why do I need a PICC?
More informationPATIENT SAFETY KNOWLEDGEBASE. How to prepare for a Survey
PATIENT SAFETY KNOWLEDGEBASE How to prepare for a Survey 1 DEFINITIONS Patient Safety v is a process that guards against any adverse condition occurring in a patient as a result of wrong diagnosis or treatment
More informationB.S.N., M.S., CRNI, CNSN
Central Line Infection: Improving our Surveillance, Treatment and Prevention in the Home Setting By Susan Poole, B.S.N., M.S., CRNI, CNSN For as long as patients have had central venous catheters (CVCs),
More information