An Intervention to Decrease Central Venous Access Device Related Bloodstream Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/164767
Category:
Abstract
Type:
Presentation
Title:
An Intervention to Decrease Central Venous Access Device Related Bloodstream Infections
Author(s):
Martens, Jennifer; Bartley, Cheryl; Caplinger, Jane; Kowalewski, Carol; Royse, Mary
Author Details:
Jennifer Martens, RN, OCN, BSN, Oncology Nurse Clinician, William Beaumont Hospital, Royal Oak, Michigan, USA, email: jmartens@beaumonthospitals.com; Cheryl Bartley, RN, BSN; Jane Caplinger, RN, BSN, MSA, OCN; Carol Kowalewski, RN, BSN; Mary Royse, RN, BSN, MSN
Abstract:
Clinical/Evidence Based Practice: The first quarter of 2008 reflected an increase in bloodstream infections on the inpatient Oncology unit. Most patients admitted to the unit have a central venous access device which puts patients at risk for developing a bloodstream infection. Nursing interventions help to reduce patients' risk of acquiring a bloodstream infection from a central venous access device. Bloodstream infections can lead to an increase in patient morbidity and mortality rates. The purpose of the project was to determine potential causes for the increase in the bloodstream infection rate, and implement nursing practice strategies to reduce catheter related bloodstream infections. A literature review was conducted and hospital policy was reviewed. A baseline audit was completed to look at the integrity of the dressing and nursing practice related to the care of central venous access devices. As a result of the audit, a three month trial of a new central line dressing was instituted and staff was educated on nursing practice improvement opportunities. Formal staff education was conducted which included a posttest to evaluate nursing competency. The audit was repeated to determine if the adherence of the dressing improved and if nursing practice had been impacted. The bloodstream infection rate was reevaluated. Oncology nurses can help reduce the bloodstream infection rate through closer monitoring of central venous access device sites and improvements in nursing practice. Implications for oncology nursing practice include a heightened awareness of assessment and nursing care of central venous access devices. Best practice standards were shared throughout the corporation and may be utilized by other health care institutions.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn Intervention to Decrease Central Venous Access Device Related Bloodstream Infectionsen_GB
dc.contributor.authorMartens, Jenniferen_US
dc.contributor.authorBartley, Cherylen_US
dc.contributor.authorCaplinger, Janeen_US
dc.contributor.authorKowalewski, Carolen_US
dc.contributor.authorRoyse, Maryen_US
dc.author.detailsJennifer Martens, RN, OCN, BSN, Oncology Nurse Clinician, William Beaumont Hospital, Royal Oak, Michigan, USA, email: jmartens@beaumonthospitals.com; Cheryl Bartley, RN, BSN; Jane Caplinger, RN, BSN, MSA, OCN; Carol Kowalewski, RN, BSN; Mary Royse, RN, BSN, MSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164767-
dc.description.abstractClinical/Evidence Based Practice: The first quarter of 2008 reflected an increase in bloodstream infections on the inpatient Oncology unit. Most patients admitted to the unit have a central venous access device which puts patients at risk for developing a bloodstream infection. Nursing interventions help to reduce patients' risk of acquiring a bloodstream infection from a central venous access device. Bloodstream infections can lead to an increase in patient morbidity and mortality rates. The purpose of the project was to determine potential causes for the increase in the bloodstream infection rate, and implement nursing practice strategies to reduce catheter related bloodstream infections. A literature review was conducted and hospital policy was reviewed. A baseline audit was completed to look at the integrity of the dressing and nursing practice related to the care of central venous access devices. As a result of the audit, a three month trial of a new central line dressing was instituted and staff was educated on nursing practice improvement opportunities. Formal staff education was conducted which included a posttest to evaluate nursing competency. The audit was repeated to determine if the adherence of the dressing improved and if nursing practice had been impacted. The bloodstream infection rate was reevaluated. Oncology nurses can help reduce the bloodstream infection rate through closer monitoring of central venous access device sites and improvements in nursing practice. Implications for oncology nursing practice include a heightened awareness of assessment and nursing care of central venous access devices. Best practice standards were shared throughout the corporation and may be utilized by other health care institutions.en_GB
dc.date.available2011-10-27T12:06:38Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:38Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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