Cvc Case Studies

Preventing and managing CVCAIs in the neonatal intensive care unit (NICU) is challenging because of the need for invasive devices and the extreme vulnerability of this population. The risk of infection due to a central line varies based on a number of factors, including birth weight, gestational age, type of line, and life of the line. A multicenter study showed evidence of increased risk of infection for neonates during the two weeks after CVC insertion with an increase in the risk as the line age, and Millstone, demonstrated that peripherally inserted central catheter (PICC) lines in place < 7 days had a lower risk of infection. Development of programs to prevent and manage CVCAIs in neonatal population should be done with consideration gestational age of the patient. Gestational age may indicate the patient’s risk of infection and the skin’s ability to act as a barrier against infection Skin has multiple functions for a newborn. It acts as a barrier against toxins and microorganisms. Implement the insertion bundle: procedural pause, hand hygiene, aseptic technique for insertion and care, site selection of subclavian, sterile precautions and skin prep with two percent chlorhexidine.
Implement an insertion checklist to promote compliance
It provides the necessary translational link between science and implementation. Without clear accountability, scientifically based implementation strategies will be used in an inconsistent and fragmented way, decreasing their effectiveness in preventing HAIs. Accountability begins with the chief executive officer and other senior leaders who provide the imperative for HAI prevention, thereby making HAI prevention an organizational priority. Senior leadership is accountable for providing adequate resources needed for effective implementation of an HAI prevention program. These resources include necessary personnel (clinical and nonclinical), education, and