Methods of Reducing Central Line Associated Bloodstream Infections (Essay Sample)
For patients with peripherally inserted central catheters (PICC), does the use of standard chlorhexidine and silver sulfadiazine-impregnated (CSS) central venous catheters or minocycline and rifampin-impregnated (MR) catheters better reduce central line associated bloodstream infections (CLABSI) during the duration of PICC use? If not, what tactics reduce incidences of CLABSI? (Bundle, monitoring insertion, reducing patient population applicable to receive PICC)
Consider the population in which the solution is intended, the staff that will participate, and the key contributors that must provide approval and/or support for your project to be implemented. These stakeholders are considered your audience.
Develop an implementation plan (1,500-2,000 words) using the "Topic 3: Checklist" resource. The elements that should be included in your plan are listed below:
Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff.
Description of current problem, issue, or deficit requiring a change. Hint: If you are proposing a change in current policy, process, or procedure(s) when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
Rationale for selecting proposed solution.
Description of implementation logistics (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
Resources required for implementation: staff; educational materials (pamphlets, handouts, posters, and PowerPoint presentations); assessment tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); technology (technology or software needs); funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation), and staff to initiate, oversee, and evaluate change.
Prepare this assignment according to the guidelines
Developing an Implementation Plan
• Explains method(s) of obtaining necessary approval(s) and securing support for proposal. _____ / 10
• Provides thorough description of current problem, issue, or deficit requiring change.
_____ / 20
• Provides detailed explanation of proposed solution. _____ / 20
• Discusses rationale for selecting proposed solution. _____ / 10
• Incorporates evidence from review of literature in Module 2 to support proposed solution. _____ / 20
• Provides a detailed description of implementation logistics.
_____ / 40
• Identifies resources required for implementation (Staff, education materials, assessment tools, technology, funds, etc.). _____ / 10
Written Format & Length Requirements • Assignment formatted according to APA.
• Word Count (1,500-2,000). _____ / 10
_____ / 10
_____ / 150
METHODS OF REDUCING CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS
Table of Contents TOC \o "1-3" \h \z \u Abstract PAGEREF _Toc467615357 \h 3Method of Obtaining Approval4Description of Current Problem PAGEREF _Toc467615359 \h 5Solution Strategy PAGEREF _Toc467615360 \h 6Rationale for selecting proposed solution PAGEREF _Toc467615361 \h 8Incorporated Theory PAGEREF _Toc467615362 \h 9Implementation of the Policy: Logistics and Resources PAGEREF _Toc467615363 \h 10Conclusion PAGEREF _Toc467615364 \h 11References PAGEREF _Toc467615365 \h 11APPENDIXES PAGEREF _Toc467615366 \h 12
The use of catheter for intravenous injections is very popular in the world, with over 300 million catheters used per year in the U.S. alone (Kusek, 2012). Central venous catheters (CVCs) are useful in administering medications, blood products, parenteral nutrition, intravenous fluids, and allowing hemodialysis access. More than 60% percent of Catheter Line Associated Bloodstream Infections occur in the ICUs, which leads to the largest number of deaths associated with blood stream infections (Chopra et al., 2012). The fact that 48% of all patients in ICU have intravenous catheter injections makes it imperative in prevention of infections and complications arising from CLASBI. According to Moureau (2012), the greatest reason to patientsâ€™ having catheter infections is due to physicians and nurses failing to implement safety procedures in catheter management. The lack of training and knowledge concerning the best evidence-based care for catheter management has led to patients acquiring BSIs; a condition that is easily preventable.
This project aims to provide a concise criteria and procedures required to implement and evidence-based practice that shall greatly reduce CLABSI in the hospitals. The policy uses research-based care recommended by the Center for Disease Control and Prevention (CDC) in the continuum care. The implementation of the policy shall begin through creation of awareness among the nursing and medical fraternity. A special team comprising of highly trained nurses and physicians shall aid in implementation of the policy, with approval from the head nurse, the medical management director, and the overall supervisor. The oncology unit shall be fully equipped with the necessary equipments required for maintenance of evidence-based care.
KEY WORDS: Catheters; Venous; evidence-based; ICU; PICC.
Methods of Reducing Central Line Associated Bloodstream Infections
The use of peripherally inserted central catheters is very popular in many intensive care units all over the world, posing a great risk for people acquiring infection. There are many risks emanating from the use of PICCs, therefore, proper standards are requisite in safeguarding the life of patients and establishing high quality standards. The implementation of this policy entails sensitizing the staff, educating the providers and implementation of the evidence-based practice in care.
Method of Obtaining Approval
The Central Line Associated Bloodstream Infections (CLABSI) has a linkage to high costs, mortality, and morbidity among patients in the Intensive Care Units (ICU) (AHRQ, 2014). According to Chopra et al. (2012), over 48% of patients in ICU have indwelling central venous catheters, a great cause of blood stream infections (BSIs). The best way to secure support among the staff within the hospital where the new policy concerning reduction of CLABSI is to take effect is by building coalitions early (Gallo, 2010). This is by identifying a patient who mistakenly acquired CLABSI within the hospital, and sharing the story of the patient with the leaders and staff of the hospital. The stakeholders shall be aware of the gravity of the matter and the need to maintain quality standards towards provision of health care...
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