Flushing and Register Nurses
EVIDENCE BASE PRACTICE ON THE REDUCTION OF CENTRAL – LINE –ASSOCIATED BLOODSTREAM INFECTIONS.
Healthcare institutes today are facing a major problem with centrally-line- associated bloodstream infections (CLABSIs). CLABSIs occur commonly and are the most potentially preventable source if morbidity. This research was conducted to see how central line bundles could be use to eliminate CLABSIs. According to the Sutter Roseville medical center (SRMC), they have seven years of zero CLABSIs, by using a broader approach of the central line buddle rather then the conventional buddle required by the CDC (Harnage, 2012). The SRMC’s, central line buddle is ease to use and failure proof as shown in figure 1 of the article (Harnage). This article explained how various component of the central line buddle were modified to achieve zero infection of CLABSIs by the SRMC. The most important point of this approach was elimination of infection through central lines. The success of this approach was base on the protocol implemented on dressing change, catheter flushing and daily checking of all central lines. Dressing changes were done only when the site was messes but with the protocol is done every 7 days and as needed, also the catheter lines were been flushed with normal saline then with heparin using a positive pressure flush, but now flushing is done every 8 hours when not in use or before and after medication administration with 10ml of normal saline using a push and pause technique. Remember these lines can not be use if there is no blood return and the potency checked. For this protocol to be effective, education and training was mandated for the register nurses, that is a one -on -one bedside training. The register nurses are the once using this line on a daily bases so training them on the use of this line were a major past in the infection control
Healthcare institutes today are facing a major problem with centrally-line- associated bloodstream infections (CLABSIs). CLABSIs occur commonly and are the most potentially preventable source if morbidity. This research was conducted to see how central line bundles could be use to eliminate CLABSIs. According to the Sutter Roseville medical center (SRMC), they have seven years of zero CLABSIs, by using a broader approach of the central line buddle rather then the conventional buddle required by the CDC (Harnage, 2012). The SRMC’s, central line buddle is ease to use and failure proof as shown in figure 1 of the article (Harnage). This article explained how various component of the central line buddle were modified to achieve zero infection of CLABSIs by the SRMC. The most important point of this approach was elimination of infection through central lines. The success of this approach was base on the protocol implemented on dressing change, catheter flushing and daily checking of all central lines. Dressing changes were done only when the site was messes but with the protocol is done every 7 days and as needed, also the catheter lines were been flushed with normal saline then with heparin using a positive pressure flush, but now flushing is done every 8 hours when not in use or before and after medication administration with 10ml of normal saline using a push and pause technique. Remember these lines can not be use if there is no blood return and the potency checked. For this protocol to be effective, education and training was mandated for the register nurses, that is a one -on -one bedside training. The register nurses are the once using this line on a daily bases so training them on the use of this line were a major past in the infection control