12.00
Hdl Handle:
http://hdl.handle.net/10755/612392
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Bundling Up Central Line Infections
Author(s):
Freed, Benjamin; Tamayo, Danny; Tully, Devin; Wilson, Gabriel; Zapateiro, Christian
Lead Author STTI Affiliation:
Non-member
Abstract:

Background: The Joint Commission (TJC) found that 72% of CLABSI occurred five days after insertion of central line (The Joint Commission, 2013). Due to these findings, TJC recommends the implementation of pre and post insertion bundles to prevent CLABSIs. Pre-insertion bundles allowed for constant use of evidence –based practice, however, there is little known about the effects of post-insertion bundles to prevent CLABSI (The Joint Commission, 2013). The use of a bundle would allow for a checklist of evidence-based materials that nurses may use to prevent any lapse in care of a patient that may lead to the development of CLABSI. Purpose: The purpose of this literature review was to analyze the effectiveness of post-insertion bundles and the materials used in the maintenance bundle recommended by TJC compared to current research findings. Methods: Ten articles were reviewed from the 163 articles retrieved using PubMed, CINAHL Complete, NCBI, and OVID databases.  Findings: Compliance with maintenance bundle use decreases rates of infection. Chlorohexidine impregnated dressings showed significant decrease in infection occurrence. A 4% Chlorohexidine solution showed to be most effective cleaning agent. Implications: The Joint Commission Central line maintenance protocol does not include the use of Chlorohexidine impregnated dressings and should consider adding this dressing type to bundle. There is no specification to the percentage of Chlorohexidine solution recommendation by TJC; 4% Chlorohexidine should be made the standard cleansing product of the bundle.

Keywords:
Central Line Infections; Critical Care
Repository Posting Date:
9-Jun-2016
Date of Publication:
9-Jun-2016
Conference Date:
2016
Conference Name:
STTI Lambda Rho Chapter's 2016 Nursing Research Conference
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing, Lambda Rho Chapter at Large
Conference Location:
Jacksonville, Florida, USA

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleBundling Up Central Line Infectionsen_US
dc.contributor.authorFreed, Benjaminen
dc.contributor.authorTamayo, Dannyen
dc.contributor.authorTully, Devinen
dc.contributor.authorWilson, Gabrielen
dc.contributor.authorZapateiro, Christianen
dc.contributor.departmentNon-memberen
dc.identifier.urihttp://hdl.handle.net/10755/612392-
dc.description.abstract<p>Background: The Joint Commission (TJC) found that 72% of CLABSI occurred five days after insertion of central line (The Joint Commission, 2013). Due to these findings, TJC recommends the implementation of pre and post insertion bundles to prevent CLABSIs. Pre-insertion bundles allowed for constant use of evidence &ndash;based practice, however, there is little known about the effects of post-insertion bundles to prevent CLABSI (The Joint Commission, 2013). The use of a bundle would allow for a checklist of evidence-based materials that nurses may use to prevent any lapse in care of a patient that may lead to the development of CLABSI. Purpose: The purpose of this literature review was to analyze the effectiveness of post-insertion bundles and the materials used in the maintenance bundle recommended by TJC compared to current research findings. Methods: Ten articles were reviewed from the 163 articles retrieved using PubMed, CINAHL Complete, NCBI, and OVID databases. &nbsp;Findings: Compliance with maintenance bundle use decreases rates of infection. Chlorohexidine impregnated dressings showed significant decrease in infection occurrence. A 4% Chlorohexidine solution showed to be most effective cleaning agent. Implications: The Joint Commission Central line maintenance protocol does not include the use of Chlorohexidine impregnated dressings and should consider adding this dressing type to bundle. There is no specification to the percentage of Chlorohexidine solution recommendation by TJC; 4% Chlorohexidine should be made the standard cleansing product of the bundle.</p>en
dc.subjectCentral Line Infectionsen
dc.subjectCritical Careen
dc.date.available2016-06-09T15:24:09Z-
dc.date.issued2016-06-09-
dc.date.accessioned2016-06-09T15:24:09Z-
dc.conference.date2016en
dc.conference.nameSTTI Lambda Rho Chapter's 2016 Nursing Research Conferenceen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursing, Lambda Rho Chapter at Largeen
dc.conference.locationJacksonville, Florida, USAen
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