Evidence based Practice: Central Venous Catheters

Evidence-Based Practice
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Introduction
The application of Central Venous Catheters (CVCs) provides one of the crucial elements that help address hospitalized patients' treatment. In this case, those suffering from critical medical conditions. By definition, a CVC refers to a tube inserted into the large veins around the neck, chest, groin area, or arm applicable in the performance of medical procedures or somewhat distribution of various fluids alongside patient medications. In most instances, such devices are deemed necessary when it comes to the aspect that entails saving adult patient's lives. Despite such importance attached to the device, there is a greater risk on the patient's side concerning contracting a bloodstream infection in the process of treatment. Statistics reveal that an estimated 500,000 Catheter Line Bloodstream Infections (CLABSI) occurs in the United States alone annually, with a higher probability of the infection resulting in mortality (Haddadin et al., 2020). According to Haddadin et al. (2020), CLABSI presents one of the leading causes of death in the U.S., therefore, associated with an increase in patient healthcare cost, morbidity as well as mortality globally.
Such a trend has led to a growing concern over the patient's level of exposure to such infections; therefore, dire need to improve the level of care about the implantation alongside the maintenance of CVCs. The various healthcare organizations, such as CDC, have developed guidelines focusing on preventing CLABSI amongst other healthcare infections (Centers for Disease Control and Prevention, 2017). For instance, the "CL bundle" application is considered one of the profound guidelines that concern catheter insertion and maintenance. Healthcare organizations worldwide maintain that CLABSI is preventable if there are strict implementation and following of the evidence-based guidelines.
There has been the elaborate implementation of the existing guidelines globally, which is very successful. Despite the evidence of successful intervention programs, the problem persists and devastates a significant adult population percentage. In such a case, the question remains: why does such a trend continue to occur? And will the CL bundle be effective in reducing CLABSI if all the elements of the bundle follow effective implementation?
This study elaborates through illustration on the effectiveness of such a procedure (CL bundle) in the event that all the elements of the bundle are fully applicable in the prevention of CLABSI. The support from the research on this guideline would demand proper education and professionalism from the nurses. This would help them understand the importance of compliance to all CL Bundle care elements that effectively reduce the rate of occurrence of CLABSI. This study identifies the clinical problem and how it can result in positive patient outcomes by providing evidence-based solutions alongside nursing intervention measures (Rupp & Majorant, 2016).
The nursing care problem, in this case, is Central Line-Associated Blood Stream Infections (CLABSI), which is a primary laboratory-confirmed bloodstream infection that usually occurs in patients with a central line at the time of (or withi...