Central venous catheter

force was created to address the increase number of central line associated bloodstream infections at Newark Beth Israel Medical Center from 1/12 to 12/12. However the study ended 12/13 as a control of the task forces implemented strategies. There were 68 adult patients which had a rate of about 14.7 per 1000 central line days in an adult inpatient patient. Most infections were in the ICU. -All inpatients admitted to any adult unit that had a central line procedure were included in the study. The study

I am currently working on two different research projects going on in Florida Hospital, Tampa. One is on the utilization of ultrasound guided EKOS Catheter System for the treatment of massive/submassive Pulmonary Emboli. The second one is on the percutaneous removal of venous clots using AngioVac Cannula System. I have access to Electronic Medical Records for data compilation and for that I have learnt the use of CERNER system. Although it is a retrospective study, I still go regularly to the catheterization

the compilations such as infection that may occur with central lines. This has taught me the importance of proving education to our patients in addition to staff members. Patients can help decrease central line associated blood stream infections by being aware of their surroundings and ensuring that nurses, physicians, and visitors take proper steps in decreasing infections rate. Implementing a policy to place alcohol infused caps on all central line that are not currently infusing is best practice

Introduction Central venous catheters (CVCs) insertion is an important component of management of patients receiving high dose chemotherapy for haematological malignancies and undergoing stem cell transplantation.1 All these patients are severely immunocompromised and have prolonged neutropenia. CVCs facilitate fluid and electrolyte management, chemotherapy and antibiotics administration and monitoring central venous pressures in this special group of patients. However, these indwelling catheters require

An Overview of The Checklist Manifesto “To err is human”, we have all heard this phrase many times, however, one should stop and think what makes humans fallible? Philosophers like Samuel Gorovitz and Alasdain MacIntyre wrote in the 70s that humans fail due to two reasons. The first reason is necessary fallibility which translates to things that are beyond our capacity. No one can ever be all knowing and knowing everything is beyond our capacity. The other cause is two-folds which is failure due

Inferior Vena Cava (IVC) filters are medical devices implanted in the veins of a patient to prevent blood clots from moving to the lungs. Former patients who had IVC filters have been injured by the device which is known to have punctured veins, as well as fracture and migrate to other parts of the body causing serious medical issues and even death. IVC filters are designed to catch clots in the blood stream, which allows for the clot to eventually dissipate. They are often implanted in those who

is planning to place a percutaneous central line to infuse TPN.  Which site is recommend and why? A percutaneous central line is entered into the patient’s subclavian vein. Because TPN solution is concentrated it is better to have CVC access in the subclavian vein so the solution has less distance to travel to its destination. This reduces the risk of the line clotting or damaging the vein. 4b.) What are the nurse's responsibilities for placement of the central line? The nurse is responsible for

the PICO question. The types of studies reviewed included three randomized controlled trials, four qualitative studies, two quantitative studies, and three quality improvement projects. The first research study reviewed: Preventing Central Line-Associated Bloodstream Infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology was used to gain insight regarding how hospital

Meier Technique Perusing Meier variant of the interscalene block technique, insertion of the block needle in the lateral direction (Meier et al, 1997, 2001) is impressively safer, it additionally gives the likelihood for inserting an indwelling catheter for constant block. The patient is asked to lay supine turning his head to the opposite side and slightly elevated to make the posterior border of the sternocleidomastoid muscle prominent. Behind the sternocleidomastoid the scalenus anterior muscle

CLABSI prevention is a standard of practice for those who provide care CVCs within an adult ICU and throughout the various units. However, infection rates remain high despite the care that is provided. This provides a clear need for education for those who are in direct care of those with a CVC. Utilizing the ACE Star Model, the discovery of a decrease in CLABSIs due to an education program was observed. In summary, the education program provided proper technique, antisepsis solutions, hand hygiene