Management of Central Venous Access Devices. Institute for Healthcare Improvement (IHI)
|
|
- Rodney Hudson
- 6 years ago
- Views:
Transcription
1 Management of Central Venous Access Devices Institute for Healthcare Improvement (IHI)
2 Purpose The purpose of this e-learning module is to help educate patient care providers on the Institute for Healthcare Improvement initiatives and how these IHI initiatives will help increase patient safety. Instructions In order to complete this e-learning module you must: 1.Read the entire e-learning module 2.Complete and answer all the questions in the post assessment on the 3.Proceed to next e-module
3 Objectives 1. Identify the. 2. Explain how the are implemented by the indicated BUNDLES.
4 THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI) is an independent not-for-profit organization helping to lead the improvement of health care throughout the world. Founded in 1991 and based in Cambridge, Massachusetts, IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into action.
5 The Campaign Goal: to protect patients from five million incidents of medical harm over the next two years Some is not a number. Soon is not a time. The number is five million. The time to start is now.
6 Initiatives and BUNDLES Reconciliation of Medications (to prevent adverse drug events) Deployment of Rapid Response Teams Improving care for AMI (Acute Myocardial Infarction) Prevention of VAP (Ventilator Acquired Pneumonia) Prevention of CLAB s (Central Line Associated Bacteremias) Prevention of SSI (Surgical Site Infections) Prevent Harm from High-Alert Medications... focus on anticoagulants, sedatives, narcotics, and insulin Reduce Surgical Complications... implement SCIP recommendations - Surgical Care Improvement Project Prevent Pressure Ulcers... use science-based guidelines for prevention Reduce MRSA infection implement scientifically proven infection control practices Deliver Reliable, Evidence-Based Care for Congestive Heart Failure... to avoid readmissions
7 What is a Bundle? A "bundle" is a collection of processes needed to effectively and safely care for patients undergoing particular treatments with inherent risks. Several interventions are "bundled" together and, when combined, significantly improve patient care outcomes. Retrieved from:
8 Now Let s Look at the Bundles
9 1. Reconciliation of Medication and Improving Care for AMI Since these are captured under the Joint Commissions Goals they are reviewed with National Patient Safety Goals module
10 2. Deployment of Rapid Response Teams (RRT) RRTs came about to address: Failures in planning (assessments, treatments, goals) Failure to communicate (patient to staff, staff to staff, staff to physician, etc.) Failure to recognize deteriorating patient condition You will review this in detail when you review RRT in orientation.
11 3. CLABs: Central Line Associated Bacteremia CVC s (central venous catheters) disrupt the integrity of the skin and may cause infection which may spread to the bloodstream causing sepsis Approximately 90% of catheter related bloodstream infections occur with Central Venous Catheters Goal: To prevent catheter related bloodstream infections by implementing the 5 components of care called the central line bundle
12 Incidence and Impact 45% of ICU patients have CVC s Fatality rate for CLAB s is 20% Length of Stay increased by mean of 7 days Cost $3,700- $29,000 per infection Between patients in the US die each year due to blood stream infection
13 CLABs Central Line Associated Bacteremia Bundle components Optimal Hand Hygiene always Maximal barrier precautions use Chlorhexidine skin antisepsis use Optimal catheter site selection (femoral is least desirable) Daily review of line necessity Appropriate administration system/ equipment care (ie: tubing care, dressing care)
14 CLAB s - Hand Hygiene 101 When caring for central venous catheters, cleanse hands with soap and water: Before and after palpating catheter insertion sites Before and after inserting, replacing, accessing, repairing or dressing and intravascular catheter Palpation of the insertion site should not be performed after the application of antiseptic, unless aseptic technique is maintained
15 Do you know the hand hygiene rules?
16 NSLIJHS Hand Hygiene Policy Handwashing and the use of alcohol-based hand rubs are effective means for preventing the spread of infection in the hospital setting. The use of gloves does not eliminate the need for hand washing! Hospital approved liquid soap from wall dispensers in patient care areas shall be used when hands are visibly soiled. Bar soap is for patient use only. When hands are not visibly soiled alcohol-based hand rubs may be used. *For hand washing procedure in areas such as the NICU, Perioperative Services, Bone Marrow Unit, and other special procedure areas refer to the unit specific manuals.
17 NSLIJHS Hand Hygiene Policy I. Hands shall be washed thoroughly: When visibly soiled II. Hand hygiene must be employed: Before and after patient care After contact with blood, bodily fluids, mucous membranes, secretions, excretions, and non intact skin even if gloves are worn After contact with an inanimate object that is potentially contaminated Before handling food After using the bathroom, eating, coughing or sneezing Before/ after donning gloves Before administering medication Before/ after performing an invasive procedure
18 NSLIJHS Hand Hygiene Policy Alcohol based cleansers: Alcohol based hand gel is appropriate for hand antisepsis before and after patient care, except when hands are visibly soiled. When using an alcohol-based handrub, apply the product to the palm of one hand and rub hands together. All surfaces of the hands and fingers must be covered. The hands must be rubbed until dry.
19 NSLIJHS Hand Hygiene Policy **You will be asked to demonstrate hand hygiene in orientation III. Handwashing procedure with soap and water is as follows: Jewelry (except wedding bands) should be removed Wristwatches shall be removed or moved up onto the arm Turn on water, adjust temperature Wet hands and wrists before applying soap Keep hands downward so water will run into sink and not down arms Apply soap and scrub vigorously on all hand and wrist surfaces for 10 to 15 seconds Rinse thoroughly under running water keeping hand downward Dry hands with paper towel, discard paper towel If using sink with hand controls, turn off faucet with clean paper towel Discard paper towel
20 NSLIJHS Hand Hygiene Policy Nails: Healthcare workers who wear artificial nails are more likely to harbor pathogens on their fingertips than those who have natural nails. Artificial nails or wraps shall not be worn by staff having direct hands-on contact with patients. Natural nails should be no longer than ¼ inch long Nails should be free of chipping polish and any glued on ornamentation
21 Hand Hygiene Rules For how long should you wash your hands?
22 Answer: 15 seconds (tip: sing Happy Birthday song twice while washing hands) Note: The only acceptable jewelry to remain on during hand hygiene is a wedding band. Watches must be moved up the arm.
23 Hand Hygiene Rules What is the key action for good handwashing?
24 Answer: Friction
25 Hand Hygiene Rules What are some of the differences between a regular handwash and a surgical scrub?
26 Answer: For surgical scrub: Length of time (120 seconds) Distance covered (fingertip to elbow) Stronger Antimicrobial used
27 Hand Hygiene Rules What is the NSLIJHS policy on artificial nails?
28 Answer: Not allowed! (includes tips and wraps; no glue of any sort)
29 Hand Hygiene Rules How long are your nails allowed to be?
30 Answer: ¼ inch from fingertip
31 CLAB s - Insertion Site Preparation Avoid removing hair, if necessary use scissors or clip Avoid shaving Avoid femoral site; subclavian or IJ preferred Antiseptic solutions: Prepare skin with CHLORHEXIDINE (chloraprep) Press sponge against skin using a back and forth friction scrub for at least 30 seconds Allow to air dry Do not repalpate after cleansing
32 CLAB s - Maximal barrier precautions For the provider: Hand hygiene Non-sterile cap and mask all hair goes under the cap Sterile gown and gloves For the patient: Cover the patient s head and body with a large sterile drape
33 CLAB s - Care of the catheter Dressings- transparent dressings are changed at least every 7 days Site care- cleanse skin around insertion site with and alcohol swab and re-apply chloraprep and sterile dressing when needed Change dressing when wet, loose or soiled Do not apply antimicrobial ointment (ie: povidone-iodine) to site except for hemodialysis catheters
34 CLAB s - The BIO-PATCH Chlorhexidine gluconate impregnated opaque foam patch may be used over insertion site (typically used in ICU s)
35 CLAB s - System Maintenance Replace IV tubing, including stopcocks, at 96 hrs. Clean injection hubs, connections and sampling ports with alcohol and air dry before accessing Replace tubing used to administer blood and blood products, and lipids within 24 hours of initiating the infusion Change Diprivan (Propofol) tubing every 12 hours Parenteral nutrition should have a designated port
36 CLAB s - Monitoring and Assessing Assess the need for the central line daily and discontinue when no longer needed Visually inspect the catheter site daily for signs of local infection Palpate the catheter insertion for tenderness
37 CLAB s - Monitoring and Assessing Assess the patient for systemic infection (ie temp, WBC s) Examine cannula insertion site during exit site care and if the patient is febrile Culture blood, insertion site (where drainage is present) if catheter related infection is suspected
38 CLAB s - Key Change Document the compliance with the insertion bundle criteria immediately after insertion (use central line insertion form) Create a culture of safety and prevention- stop the procedure if improper techniques are used
39 4. Ventilator Acquired Pneumonia VAP Bundle Goal: To prevent ventilator associated pneumonia (VAP) and deaths from VAP and other complications in patients with ventilators by implementing the four components of care called the VAP bundle
40 VAP Bundle- Ventilator Acquired Pneumonia Incidence 15% of all hospital acquired infections 20-33% attributable mortality rates Increased ICU stay by days Excess costs of approximately $40,000/patient (CDC, 2003) Incidence ranges from 9% to 70%. Increases average hospital stay from 6 days to > than 30 days. Rumbak, M. J. (2000). Strategies for prevention and treatment. Journal of Respiratory Disease, 21 (5), p. 321.
41 VAP Bundle- Ventilator Acquired Pneumonia VAP is no longer just an unfortunate hospital related occurrence It is viewed as medical error Risk Factors #1 risk factor -endotracheal intubation and mechanical ventilation! Administration of antibiotics Admission to ICU Underlying chronic lung disease
42 VAP Bundle- Ventilator Acquired Pneumonia Elevate HOB degrees Daily sedation vacation Daily assessment of readiness to extubate Peptic ulcer prophylaxis Deep venous thrombosis prophylaxis
43 VAP - Sedation Vacation Definition: daily interruption of sedation to assess readiness for extubation Reduces overall patient sedation and vent dependency Promotes early extubation with no significant increase in self- extubation Issues and concerns: Self extubation, anxiety, desaturation
44 5. Surgical Site Infection Bundle (SSI) Goal: Prevent Surgical Site Infections Prophylactic peri-operative antibiotics (choice and timing are critical) Appropriate hair removal Peri- and post- operative glucose control Perio- and post- operative normothermia
45 SSI - Antibiotics Must be given within 1 hour before surgical incision Discontinuation of antibiotics within 24 hours after surgery
46 SSI - Hair Removal Appropriate No hair removal at all 100% compliance with the use of clippers Removal of razors from the OR Depilatory use (hair removal cream) Not Appropriate Shaving
47 SSI - Normothermia Hypothermia can negatively affect the immune response Keep pt. warm pre-op Use warmed fluids Increase the ambient temp in OR Use warming blankets Hats and booties on patients
48 SSI- Glycemic Control Goal: keep glucose at normal levels Begin protocol at glucose level of 150. Ideal patient blood sugar range: mg/Dl
49 Additionally for SCIP measures (Surgical Care Improvement Project) Peri-op beta blocker *** Venous Thromboembolism (VTE) Prophylaxis ordered *** VTE Prophylaxis received within 24 hours prior to surgery to 24 hours after surgery *** ***new measures effective with 10/1/2006 discharges
50 6. Catheter Associated Urinary Tract Infections (CA-UTI) GOAL Reduce and ultimately prevent cases of symptomatic CA-UTI What is symptomatic CA-UTI? Infection-causing symptoms as defined by the CDC s National Health Safety Network (NHSN) in the setting of an indwelling urinary catheter that is in place or has been removed within the past 48 hours
51 WHY CA-UTI? Most common hospital-acquired infection: 40% of all HAIs > 1 million cases annually (hospitals & nursing homes) 12-25% of all hospitalized patients receive a urinary catheter Half of these found to not have valid indication
52 Evidence of Success Numerous published studies reporting reductions in CA-UTI rates of 48-81% Use of reminders Nurse-driven protocols Reduction in duration of catheter days The duration of catheterization is the most important risk factor for development of infection. SHEA-IDSA Compendium, October 2008
53 Preventing CA-UTI 1. Avoid unnecessary urinary catheters 2. Insert using aseptic technique 3. Maintain catheters based on recommended guidelines (daily care) 4. Review catheter necessity daily and remove promptly
54 1. Avoid unnecessary urinary catheters Studies: 21% of catheters not indicated at insertion 41-58% in place found to be unnecessary Catheters Are uncomfortable for patients Decrease mobility, which may impair recovery and contribute to other complications (e.g., pressure ulcers, deep vein thrombosis) Saint S, Lipsky BA. Preventing catheter-related bacteriuria: Should we? Can we? How? Arch Intern Med Apr 26;159(8): Jain P, Parada JP, David A, Smith LG. Overuse of the indwelling urinary tract catheter in hospitalized medical patients. Arch Intern Med. 1995;155:
55 Indications for Indwelling Urinary Catheters Based on expert guidelines and published literature: Perioperative use for selected surgical procedures Urine output monitoring in critically ill patients Management of acute urinary retention and urinary obstruction Assistance in pressure ulcer healing for incontinent patients As an exception, at patient request to improve comfort (SHEA- IDSA) or for comfort during end-of-life care (CDC)
56 Avoidance Strategies External condom catheters for appropriate male patients Intermittent catheterization multiple times per day Assessing urinary retention with bladder ultrasound
57 Changes to Avoid Unnecessary Catheters Develop criteria for appropriate insertion and verify prior to every insertion Empower nurses to contact physicians before insertion if criteria are not met Use a checklist of criteria include this with the insertion kits Determine where most catheters are inserted (probably the ED) and start there
58 2. Insert urinary catheters using aseptic technique Utilize appropriate hand hygiene practice. Insert catheters using aseptic technique and sterile equipment, specifically using: gloves, a drape, and sponges; sterile or antiseptic solution for cleaning the urethral meatus; and single-use packet of sterile lubricant jelly for insertion. Use as small a catheter as possible that is consistent with proper drainage, to minimize urethral trauma.
59 Changes to Ensure Consistency of Technique Standard insertion kits with all necessary supplies Include technique in checklist for insertion (along with criteria) Design processes to ensure consistent stock of supplies in needed areas
60 3. Maintain catheters based on recommended guidelines Maintain a sterile, continuously closed drainage system. Keep catheter properly secured to prevent movement and urethral traction. Keep collection bag below the level of the bladder at all times. Maintain unobstructed urine flow. Empty collection bag regularly, using a separate collecting container for each patient, and avoid allowing the draining spigot to touch the collecting container. Maintain meatal care with routine hygiene (bathing).
61 Practices to Avoid Irrigating catheters, except in cases of catheter obstruction Disconnecting the catheter from the drainage tubing Replacing catheters routinely (in the absence of obstruction or infection); if the collection system must replaced, use aseptic technique These practices may actually increase the risk of infection and other complications.
62 4. Daily review of necessity with prompt removal The duration of catheterization is the most important risk factor for development of infection. SHEA-IDSA Compendium, October % of hospitals surveyed did not monitor catheter duration. 47% of patient days had no justification for continued catheterization. 41% of the time, physicians were unaware of patients inappropriately catheterized. Saint S, Kowalski Jain P, Parada JP.1995.
63 Daily Review of All Urinary Catheters Determine need for continuation Remove if not indicated Possible strategies: Nursing assessments at every shift, with requirement to contact physician if criteria are not met Nursing protocols for removal of urinary catheters based on criteria Automatic stop orders for 48 to 72 hours after insertion, continuation only when indication is documented in renewal order Reminders in patient records requiring physicians to document indication for continuation of catheter
64 It s all about the Bundles! Be proactive Function as a multidisciplinary team Be your patients advocate Be a reminder to others Be a positive influence on outcomes Be vigilant on your care
65 Leadership For North Shore-LIJ, the safety of every patient who is treated at any of our facilities should be guaranteed. As an organization, we must have zero tolerance for infections. Michael Dowling President & CEO North Shore - Long Island Jewish Health System Spring
66 References APIC CA-UTI Elimination Guide
67 You have completed this module It is required that you take a post assessment after completing this module. Passing score is 100%. Complete the post assessment IHI Quiz which is located on the Quia site 67
Infection 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 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 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 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 informationTraining Your Caregiver: Hand Hygiene
Infections are a serious threat to fragile patients. They are often spread by healthcare workers and family members who are providing frontline care. In fact, one of the major contributors to infections
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 informationHOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program
HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during
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 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 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 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 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 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 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 informationCentral 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 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 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 informationCAUTI reduction at Mayo Clinic
CAUTI reduction at Mayo Clinic Priya Sampathkumar, MD, FIDSA, FSHEA Associate Professor of Medicine, Division of Infectious Diseases, Mayo Clinic, Rochester Jean (Wentink) Barth, MPH, RN, CIC Director,
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 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 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 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 informationEveryone Involved in providing healthcare should adhere to the principals of infection control.
Infection Control Introduction The prevention and control of infection is an integral part of the role of all health care personnel. Healthcare Associated Infections (HCAIs) affect an estimated one in
More informationInfection Prevention, Control & Immunizations
Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others
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 informationCentral Line Bundle Brochure - Achieving Excellence in Patient Care Brochure Highlights and Contact Information
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
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 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 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 informationFall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157
Fall 2010 HOLLY ALEXANDER Academic Coordinator of Clinical Education 609-570-3478 AlexandH@mccc.edu MS157 To reduce infection & prevent disease transmission Nosocomial Infection: an infection acquired
More informationWelcome to the Cooper Infection Prevention Team
Welcome to the Cooper Infection Prevention Team We Need YOU on the Team Healthcare Associated Infections Increase Morbidity & Mortality (Pain, Suffering and Death) CDC estimates that each year about 2
More informationRunning head: EBN & CAUTIS 1
Running head: EBN & CAUTIS 1 Evidence-Based Nursing & Reducing Catheter-Associated Urinary Tract Infections Dana L Knoll Ferris State University EBN & CAUTIS 2 Evidence-Based Nursing & Reducing Catheter-Associated
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 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 informationCPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION
22nd edition CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION Infection Control Module No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database
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 informationCNA Training Advisor
CNA Training Advisor Volume 13 Issue No. 9 SEPTEMBER 2015 According to the Centers for Disease Control and Prevention (CDC), clean hands are the single most important factor in preventing the spread of
More informationBurn Intensive Care Unit
Purpose The burn wound is especially susceptible to microbial invasion because of loss of the protective integument and the presence of devitalized tissue. Reduction of the risk of infection is of utmost
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 informationLESSON ASSIGNMENT. After completing this lesson, you should be able to: 2-3. Distinguish between medical and surgical aseptic technique.
LESSON ASSIGNMENT LESSON 2 Medical Asepsis. LESSON OBJECTIVES After completing this lesson, you should be able to: 2-1. Identify the meaning of aseptic technique. 2-2. Identify the measures treatment personnel
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 informationStrategy/Driver Prevention Strategies Action Strategies
I. Hospital executive leadership commitment to prevention of surgical site infections 1. Establish Surgical Site Infection prevention as a strategic priority 2. Develop and implement business/strategic
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 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 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 informationClinical Intervention Overview: Objectives
AHRQ Safety Program for Long-term Care: HAIs/CAUTI Clinical Intervention Overview: Preventing Infections to Enhance Resident Safety Cohort 5 Learning Session #1 Steven J. Schweon RN, CIC APIC Infection
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 informationWhy Does Hand Hygiene Matter? 1/26/2015 1
Why Does Hand Hygiene Matter? 1/26/2015 1 This presentation will Explain why hand hygiene matters Explain how to perform hand hygiene Describe how and when to perform a crucial conversation regarding Hand
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 informationThe environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs.
Infection Control Objectives: After you take this class, you will be able to: 1. List some of the reasons why residents and patients are at risk for getting infections. 2. Discuss the cycle of infection
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 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 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 informationNEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL
NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL Infection Control Rev. 3/2018 Hand Hygiene Standard Precautions TOPICS Transmission-Based Precautions Personal Protective Equipment (PPE) Multiple
More informationInfection Control Policy
Infection Control Policy Category Summary Policy This policy outlines BAPAM s principles and procedures for infection prevention and control in the clinics environment. It is applicable to all BAPAM personnel
More informationFrom Defeating CAUTI to Preventing Urinary Catheter Harm
From Defeating CAUTI to Preventing Urinary Catheter Harm Mohamad Fakih, MD, MPH Professor of Medicine, Wayne State University Senior Medical Director, Center of Excellence for Antimicrobial Stewardship
More informationInfection Prevention & Control (IPAC):
Windsor Regional Hospital believes that Infection Prevention and Control is vital to patient safety. ALL persons working in the hospital have a RESPONSIBILITY to practice good infection prevention and
More informationMedication Aide Skills Assessment Review Guide
Medication Aide Skills Assessment Review Guide Provided by Clarkson College Office of Professional Development professionaldevelopment@clarksoncollege.edu Medication Aide Skills Assessment Study Guide
More informationRoutine Practices. Infection Prevention and Control
Routine Practices Infection Prevention and Control Routine Practices Elements of Routine Practices: Risk assessment + hand hygiene + personal protective equipment Environmental controls (patient placement,
More informationKristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals
Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still
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 informationVAE PROJECT MASTER ACTION PLAN. Note: Please be aware that these areas overlap to reduce duplication and optimize the synergies
VAE PROJECT MASTER ACTION PLAN Note: Please be aware that these areas overlap to reduce duplication and optimize the synergies Practice NHSN Surveillance Data Collection Is VAE NHSN Surveillance data collection
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 informationPHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment
PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards : Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards 2016 PERSONAL PROTECTIVE EQUIPMENT Personal protective
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 informationPOLICY FOR ASEPTIC TECHNIQUE AND ASEPTIC NON TOUCH TECHNIQUE
POLICY FOR ASEPTIC TECHNIQUE AND ASEPTIC NON TOUCH TECHNIQUE Please be aware that this printed version of the Policy may NOT be the latest version. Staff are reminded that they should always refer to the
More informationOCCUPATIONAL HEALTH & SAFETY
OCCUPATIONAL HEALTH & SAFETY Safety in the Workplace WRH recognizes health and safety as a vital component in achieving its vision, mission and values. It is committed to providing safe and harm free care
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 information: Hand. Hygiene Policy NAME. Author: Policy and procedure. Version: V 1.0. Date created: 11/15. Date for revision: 11/18
: Hand NAME Hygiene Policy Target Audience Author: Type: Clinical staff BD Policy and procedure Version: V 1.0 Date created: 11/15 Date for revision: 11/18 Location: Dropbox/website Hand Hygiene Policy
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 informationVisitor Guide to the OR
Visitor Guide to the OR Welcome Welcome to the VUH operating room for your observational experience. Be sure you have completed the Vanderbilt Observational Experience approval process in preparation for
More informationInfection Prevention
Infection Prevention Dear HSS Patient: The Hospital for Special Surgery is committed to patient safety and quality patient care and is proud to have achieved one of the lowest infection rates in New York
More informationE: Nursing Practice. Alberta Licensed Practical Nurses Competency Profile 51
E: Nursing Practice Alberta Licensed Practical Nurses Competency Profile 51 Competency: E-1 Critical Thinking E-1-1 E-1-2 E-1-3 Demonstrate knowledge and ability to apply critical thinking concepts throughout
More informationVENTILATOR ASSOCIATED PNEUMONIA (VAP) SOP VAP SK-V1
VENTILATOR ASSOCIATED PNEUMONIA (VAP) SOP Version Number V1 Date of Issue February 2018 Reference Number Review Interval Approved By Name: Fionnuala O Neill Title: Nurse Practice Coordinator Authorised
More informationCanadian Surgical Site Infection Prevention Audit Month
Canadian Surgical Site Infection Prevention Audit Month February 2016 CONTENTS KEY FACTS...3 SSI PREVENTION AUDIT RESULTS...3 BACKGROUND...4 METHODOLOGY...4 Data Scores... 5 How to Interpret the Indicator
More informationInfection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care
Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Melissa Schaefer, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention
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 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 informationGoal Elements of Performance APIC Comments APIC Recommendations
Association for Professionals in Infection Control and Epidemiology, Inc. Comments on the Joint Commission s Proposed 2012 National Patient Safety Goals The Joint Commission Practice Guidance Team Accreditation
More informationISOLATION PRECAUTIONS INTRODUCTION. Standard Precautions are used for all patient care situations, but they
ISOLATION PRECAUTIONS INTRODUCTION Standard Precautions are used for all patient care situations, but they may not always be sufficient. If a patient is known or suspected to be infected with certain pathogens
More informationOHA HEN 2.0 Partnership for Patients Letter of Commitment
OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information
More information& ADDITIONAL PRECAUTIONS:
INFECTION CONTROL GUIDELINES: STANDARD PRECAUTIONS & ADDITIONAL PRECAUTIONS: LESSON PLAN Lesson overview Time: One hour This lesson covers the guidelines developed by the U.S. Centers for Disease Control
More informationMohamad Fakih, MD, MPH
Ensuring Sustainability for CAUTI Prevention Efforts Mohamad Fakih, MD, MPH Professor of Medicine, Wayne State University School of Medicine St John Hospital and Medical Center Detroit, MI So we often
More informationPresented by: Mary McGoldrick, MS, RN, CRNI
Infection Prevention and Control Challenges in the Home and Community based Care Mary McGoldrick, MS, RN, CRNI Home Care and Hospice Consultant Saint Simons Island, GA Nothing to Disclose Top 5 Home Care
More informationTHE INFECTION CONTROL STAFF
INFECTION CONTROL THE INFECTION CONTROL STAFF INTEGRIS BAPTIST V. Ramgopal, M.D., Hospital Epidemiologist Gwen Harington, RN, BSN, CIC, Infection Control Specialist Kathy Knecht, RN, Surveillance Coordinator
More informationNewborn Nursery/Neonatal Intensive Care Unit
Newborn Nursery/Neonatal Intensive Care Unit Ref:(a) The Association for Professionals in Infection Control and Epidemiology, Principles and Practice, 1996. (b) Hospital Epidemiology and Infection Control,
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 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 informationSubacute Care. 1. Define important words in the chapter. 2. Discuss the types of residents who are in a subacute setting
175 26 Subacute Care 1. Define important words in this chapter 2. Discuss the types of residents who are in a subacute setting 3. List care guidelines for pulse oximetry 4. Describe telemetry and list
More informationPercutaneous Transhepatic Biliary Drainage Interventional Radiology
Percutaneous Transhepatic Biliary Drainage Interventional Radiology Your doctor has scheduled a percutaneous transhepatic biliary drainage to be done in the Interventional Radiology (IR) Department on
More informationAHA/HRET HEN 2.0 CAUTI WEBINAR: OVERCOMING BARRIERS TO ASEPTIC CATHETER INSERTION. August 9, :00 a.m. 12:00 p.m. CT
AHA/HRET HEN 2.0 CAUTI WEBINAR: OVERCOMING BARRIERS TO ASEPTIC CATHETER INSERTION August 9, 2016 11:00 a.m. 12:00 p.m. CT 1 WELCOME AND INTRODUCTIONS Marina Levin, Program Manager HRET 11:00 11:05AM 2
More informationTable of Contents. Nursing Skills. Page 2 of 8. Nursing School Made Simple Guaranteed 2014 SimpleNursing.com All Rights Reserved.
Table of Contents 1 Universal Competencies... 3 1.1 Universal Elements... 3 2 Critical Thinking Question... 4 3 Documentation... 4 4 Handwashing... 4 5 Moving a patient up in bed... 4 6 Applying restraints...
More informationInfection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures
Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Facility name:... Completed by:... Date:... A. Written infection prevention policies and procedures specific
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
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 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 informationInfection Control in Paramedic Services Jennifer Amyotte, City of Sudbury Paramedic Services Webber Training Teleclass
Infection Control in Paramedic Services Infection Control in Paramedic Services Jennifer Amyotte Commander of Community Paramedicine & Professional Standards City of Greater Sudbury Paramedic Services
More information01/09/2014. Infection Prevention and Control A Foundation Course WHO Provides a Consensus on Hand Hygiene. WHO - My 5 Moments Approach
Infection Prevention and Control A Foundation Course 2014 WHO Provides a Consensus on Hand Hygiene WHO - My 5 Moments Approach Recommendations given on 1. Indications for Hand Hygiene 2. Hand Hygiene Technique
More informationInfection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department
Infection Prevention and Control and Isolation 2015 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able
More informationCourse Outline and Assignments
Course Outline and Assignments WEEK ONE 10-16-12 Instructional In Class-Learning to be completed prior to class 10-17-12 Total Hours Assessment 1. proper hand washing techniques 2. donning and removing
More information