NR451 RN Capstone Course

NR451 RN Capstone Course

Preventing Central Venous Catheter-Related Infections
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NR451 RN Capstone Course
Preventing Central Venous Catheter-Related Infections
Central venous catheters are essential tools used to assist patients in several ways. The most common function of a CVC is to administer intravenous medication during chemotherapy and antibiotics safely. CVC is also used for blood transfusion and dialysis among patient with renal problems. Catheters are effective because they allow patients to live a more optimal life outside the hospital. Despite the numerous benefits, the central venous catheters are the leading cause of nosocomial bloodstream infections (Denny, 2016).
Aseptic technique is commonly used to care for central line catheter and reduce the chances of contamination. The aseptic technique involves the hand hygiene using alcohol, betadine or chlorhexidine. The surrounding skin surface can influence the likelihood of infection that is why the skin surface needs to be disinfected with a solution (Denny, 2016). Several studies have proved that chlorhexidine bath can improve patient outcomes, this serves as evidence to nursing practice.
Poor nursing practices have adverse effects on patient health outcomes, causing a longer hospital stay. Staff education on adherence to aseptic technique and strict guideline are important to minimize blood stream infections. Implementing chlorhexidine baths will help reduce central-line associated bloodline infections will help reduce bloodline infection, but the outcome greatly depends on care practices by health care providers (Denny, 2016).
Overview of the ACE Star Model Evidence-Based Practice Process.
The ACE Star Model will be adopted during the implementation of the Aseptic technique to minimize nosocomial bloodstream infections. The ACE Star Model consist of five stages that depict various forms of knowledge in a sequence as research evidence moving from several cycles combined with the general knowledge that is integrated into practice (Aarons, Hurlburt & Horwitz, 2011).
The ACE Star Model offers a framework for putting evidence-based practices into operation. To use ACE star model in implementing chlorhexidine bath, the following phases will be carefully addressed as a requirement of the model. Discovery of research followed by summarizing the evidence, translation of evidence combined with guidelines into an intervention, integration of knowledge into clinical practice and evaluating the outcome (Aarons, Hurlburt & Horwitz, 2011).
Change Model Overview
Several preventive measures have been studied over time in an attempt to minimize infection incidence using catheters; however, the most effective measure that reduces colonization within the catheter skin insertion site or the infusion line (Climo et al., 2013). Studies suggest that implementing measures like chlorhexidine bath can improve patient outcomes, making an impact in nursing care and can serve as the best evidence of the nursing practice. Poor nursing practices are associated with longer hospital stay and increase mortality among hospitalized patients (Climo et al., 2013).
The Scope of the EBP
Use of central venous catheters forms part of modern medical practice whereby these devices are inserted to assist patients to cope with certain illness, CVC comes with greater risk of device-related infection than any other medical devices. CVC infections are the major causes of both mortality and morbidity among patients (Karki & Cheng, 2012). CVC are the main sources of bacteremia and septicemia among hospitalized patients. Organisms linked to Catheter-related bloodstream infections are commonly found on the skin within the insertion site, hence leading to colonization of the inserted catheter (Karki & Cheng, 2012).
Colonizati…
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NR451 RN Capstone Course