Bacteremia

Phenomenon of Interest Starting Peripheral Intravenous (PIV) access has become so common a practice among Registered Nurses (RN’s) that many nurses do not give much thought as to how to prepare the site for PIV insertion. Many times, finding a vein takes the priority especially in the older patient population. Teaching PIV insertion has also become a routine: Watch the video, practice on the mannequin arm, and have the student start one on a live patient. Recently, the videos in use for the students

Introduction Sepsis is a potentially life-threatening complication caused by the body’s response to an infection. Our immune system protects us against threats, which include viruses, bacteria and parasites that cause infectious diseases. Our immune system responds by triggering an inflammatory response to bacteria in the blood. However, with sepsis the response is massive and the inflammation that occurs can cause a ripple effect of changes that may lead to damage of multiple organ systems, causing

Sepsis was known in the old days as "blood Poisoning" because it is " A poisoning of the system by disease carrying bacteria and their toxins absorbed into the bloodstream, as from festering wounds," according to the World Book Encyclopedia Dictionary. 1 Because Sepsis is a severe and often fatal disease and thought to cause 44,000 deaths a year, it is most important that it be recognized early and treated aggressively with utmost and urgent care. If not treated early it can lead to shock and multiple

Clinical Context Patient, JD, is a 50-year-old Caucasian male with a past medical history of polysubstance abuse who presented to outside hospital with shortness of breath and chest pain who developed cardiogenic shock complicated by shock liver and renal failure and was transferred to Henry Ford Hospital for elevation of care. The patient was admitted to the intensive care unit (ICU) upon arrival. While in the ICU, patient developed a fever with leukocytosis and patchy infiltrate on CXR and was

Quality Improvement Action Plan An estimated 30,100 central line associated bloodstream infections (CLABSI) occur yearly in the United States intensive care units and acute care facilities (cdc.gov, 2016). CLABSIs are a significant issue in MCH that requires immediate attention to reach the goal of zero CLABIs. The purpose of this paper is to develop a plan for implementing the CLABSI quality improvement initiative, including the process of planning a timeline, implementation, and evaluation

As the CEO of a hospital with the highest Central-Line Associated Blood Stream Infections (CLABSI), I am approaching the problem from an evidence-based standpoint. My first step is to engage each team member, especially senior leadership, and ensure that everyone is on board to reduce CLABSI occurrences. In a formal, mandatory meeting, I am giving all staff members a detailed overview of the plan as well as an achievable goal for the upcoming fiscal year. While outlining my expectations, I will welcome

Airway/Breathing (Oxygenation) Pneumonia/Chronic Obstructive Pulmonary Disease Clinical Reasoning Case Study STUDENT Worksheet JoAnn Walker, 84 years old Overview This case study incorporates a common presentation seen by the nurse in clinical practice: community acquired pneumonia with a history of COPD causing an acute exacerbation. Principles of spiritual care are also naturally situated in this scenario to provide rich discussion of “how to” practically incorporate this into the nurse’s

Knowledge of consumer product safety and product evaluation techniques. SPECIALIZED KNOWLEDGE  I am highly experienced with product safety presentation, trial, evaluation, review and distribution in the healthcare industry. As a medical device and capital equipment sales manager, I successfully managed three states within the United States of over 50 hospitals. REVELANT SKILLS AND ABILITIES CONSUMER PRODUCT SAFETY TESTER AND PERFORMANCE REVIEW BOARD MEMBER I have lead in-depth comprehensive

Clinical problem: Catheter-related infections pose a detrimental threat to adult patients in intensive care units with a central line. Effects of an infection include: an increase in the patients’ length of hospital stay, morbidity and mortality rates, and hospital readmission rates. Objective: To determine if the evidence based practice interventions studied and published can help to decrease the rate of infection occurring in central lines. Data sources: The search engine that was used to find

Safety and Prevention of Central Line Blood Stream Infections Shelbie N. Langless Tidewater Community College With all the traffic continuously moving through the hospital it is important to make sure that infection control and safety are always being taken into consideration. There are several infections that can be acquired in the hospital setting, but one of the most prevalent is a central line-associated blood stream infections (CLABSI). “A CLABSI is a primary bloodstream infection