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CLABSI (Team 1) (JMB) (Possible Research Questions ???? ((Are there less…

- - - - ●Using barrier precautions during insertion (KS)
        
        ●Changing catheter administration sets at appropriate intervals (KS)
        
        ●Ensuring proper catheter site care (KS)
        
        ●Ensuring removal of catheters when no longer essential (KS)
        
        Choosing appropriate sites for catheter insertion (KS)
        
        PREVENTION:
        
        -facilities can provide proper equipment and tools to be better equipped to provide the best quality of care; having proper equipment will also increase nurse compliance (JH)
        
        Antibiotic locks — The antibiotic lock technique for prevention of CVC-related infection involves filling the catheter lumen with high concentrations of antibiotics for several hours in an attempt to prevent colonization of the intraluminal surface of the catheter. We do not favor routine use of antibiotic locks at this time for prevention of infection given variable efficacy data, and few studies have comprehensively assessed this intervention for development of resistant organisms [75,76]. (KS)
        
        Silver impregnation — The incidence of infection may be reduced by the use of silver-impregnated collagen cuff catheters [66,67]. In a randomized trial of 234 catheters, those with a silver-impregnated collagen cuff were less likely than cuffless catheters to be colonized at removal (9 versus 29 percent) and to be associated with bacteremia (1.0 versus 3.7 percent) [66]. However, later trials in tunneled catheters and double- or triple-lumen catheters did not confirm such benefit [68-70]. (KS)
        
        -Implementation of a CLABSI training program, based on CLABSI reduction as well as the safety and care of the patient would increase knowledge of procedures and lead to higher compliance and confidence (JH)
        
        -Develop questionnaire pre and post education on CLABSI that is anonymous to help identify areas that need more education (JH)
        
        -The use of antibiotics and strict aseptic technique can significantly reduce the rate of infection (JH)
        
        -To be successful at reducing the incidence of CLABSI three major factors need to be addressed: people, standards and technology (JH)
- - - - What Can Patients do to Prevent CLABSI?
      - research hospital & CLABSI rate (TJ)
      - Speak up/out about any concerns so they can be corrected and addressed (TJ)
      - Question the necessity of central line and purpose for having it placed for any given specific time span (TJ)
      - Pay attention to bandage and surrounding area - if banadge becomes solid or comes off tell HCP ASAP (TJ)
      - Avoid moisture of central line (TJ)
      - Tell HCP if surrounding area becomes red or inflammed (TJ)
      - DO NOT let any visitors touch the tubing or catheter (TJ)
      - Avoid touching the tubing as much as possible (TJ)
      - All visitors must wash hands before and after visit (TJ)
- - - - CLABSI bundles cover central line insertion, maintenance, and monitoring, and are intended to be used in all patient care areas in acute care hospitals. The CLABSI bundle tool kit is a collection of supporting documents, resources, and tools to assist hospitals in implementing the bundle. (TJ)