Central Venous Catheter Access: The Registered Nurse's Role in Preventing Catheter Related Blood Stream Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/152788
Type:
Presentation
Title:
Central Venous Catheter Access: The Registered Nurse's Role in Preventing Catheter Related Blood Stream Infections
Abstract:
Central Venous Catheter Access: The Registered Nurse's Role in Preventing Catheter Related Blood Stream Infections
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Warrington, William G., PhD, RN
P.I. Institution Name:Orlando Health
Title:Clinical Nurse Research Scientist
Co-Authors:Mary Lou Sole PhD, RN, CCNS, FAAN, FCCM, Orlando Health Distinguished Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: Central venous catheters (CVC) are inserted to provide intravenous access for a variety of conditions.  CVC use increases the risk for catheter related bloodstream infection (CRBSI). CRBSI can be prevented through proper hand hygiene and aseptic technique during catheter access or manipulation. The purpose of this study was to describe current registered nurses (RN) practices related to CVC access and to identify opportunities for improvement.
Methods: A prospective observational study was conducted following IRB approval and waiver of consent.  Trained observers used a checklist to evaluate the CVC access procedure on 11 pediatric and adult critical care units within a multi-hospital system; 483 observations were recorded.  Observations included hand hygiene and procedures for cleaning the access port.  Data were analyzed with descriptive statistics and chi-square analysis.       
Results: The primary reason for accessing the port was to administer medications (71.2%).  Correct hand hygiene was observed 69.8% of the time, and clean gloves were worn in 85.3% of observations.  The correct antiseptic to cleanse the access port was applied 80.3% of the time, but the appropriate length of scrub time was only 40.0%, and drying time 21.5%.  No significant differences in practices were noted between weekends and weekdays or between day and night shifts.  RNs on the pediatric units had a higher hand hygiene compliance (85.2% versus 62.0%, p<0.001).  However, pediatric nurses were less likely to cleanse the port with alcohol (72.2% versus 84.4%), and used chlorhexidine and povidone iodine more often for cleansing (p=.001).  
Conclusion: Many opportunities for improving hand hygiene and antiseptic use when accessing CVCs exist to prevent CRBSI.  RNs in the pediatric setting were more compliant in the hand hygiene procedure for proper CVC access.  Participation in a national initiative led by the pediatric clinical nurse specialist may be one reason for the higher compliance.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCentral Venous Catheter Access: The Registered Nurse's Role in Preventing Catheter Related Blood Stream Infectionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152788-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Central Venous Catheter Access: The Registered Nurse's Role in Preventing Catheter Related Blood Stream Infections</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Warrington, William G., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Orlando Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Research Scientist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">william.warrington@orlandohealth.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Lou Sole PhD, RN, CCNS, FAAN, FCCM, Orlando Health Distinguished Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;Central venous catheters (CVC) are inserted to provide intravenous access for a variety of conditions.&nbsp; CVC use increases the risk for catheter related bloodstream infection (CRBSI). CRBSI can be prevented through proper hand hygiene and aseptic technique during catheter access or manipulation. The purpose of this study was to describe current registered nurses (RN) practices related to CVC access and to identify opportunities for improvement. <br/>Methods:&nbsp;A prospective observational study was conducted following IRB approval and waiver of consent.&nbsp; Trained observers used a checklist to evaluate the CVC access procedure on 11 pediatric and adult critical care units within a multi-hospital system; 483 observations were recorded.&nbsp; Observations included hand hygiene and procedures for cleaning the access port.&nbsp; Data were analyzed with descriptive statistics and chi-square analysis.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br/>Results:&nbsp;The primary reason for accessing the port was to administer medications (71.2%).&nbsp; Correct hand hygiene was observed 69.8% of the time, and clean gloves were worn in 85.3% of observations. &nbsp;The correct antiseptic to cleanse the access port was applied 80.3% of the time, but the appropriate length of scrub time was only 40.0%, and drying time 21.5%. &nbsp;No significant differences in practices were noted between weekends and weekdays or between day and night shifts.&nbsp; RNs on the pediatric units had a higher hand hygiene compliance (85.2% versus 62.0%, p&lt;0.001).&nbsp; However, pediatric nurses were less likely to cleanse the port with alcohol (72.2% versus 84.4%), and used chlorhexidine and povidone iodine more often for cleansing (p=.001).&nbsp;&nbsp; <br/>Conclusion:&nbsp;Many opportunities for improving hand hygiene and antiseptic use when accessing CVCs exist to prevent CRBSI.&nbsp; RNs in the pediatric setting were more compliant in the hand hygiene procedure for proper CVC access.&nbsp; Participation in a national initiative led by the pediatric clinical nurse specialist may be one reason for the higher compliance.</td></tr></table>en_GB
dc.date.available2011-10-26T11:49:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:49:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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