双重安全巡讲-进阶版.ppt

Blood culture change supported by Mathews and Sherertz HIA conference in 2010. Protection caps intended to keep the connector clean during non-use… not intended to meet the scrub recommendation. Flushing procedure should match with device being employed… * * INS focuses on definition of different vascular access devices and indications for use. EJ – requires documented competency * CDC also recommends the use of the subclavian over the jugular vein. Primarily this has to do with the difficulty in maintaining an occlusive dressing on the site… therefore increasing risk of skin contamination. Reference Mark Rupp’s poster… no real evidence.. Just makes sense. The CDC also recommends the use of ultrasound guidance. As with all organizations today, there is a strong recommendation to remove ANY catheter no longer essential to patient care. * * Lack of recommendations for CHG-gel dressings and dressings with other agents such as silver is based on the fact that there are no published studies reporting outcomes with their use, therefore no evidence upon which to make a statement. * * * * This graph depicts one company’s product performance when compared to a traditional syringe. There are no alternative lock solutions that are commercially available in the US at this time. All alternative solutions must be prepared by a compounding pharmacy. There are numerous solutions currently in development stages. These listed are just 3 examples * * * Documents discussed Infusion Nursing Standards of Practice CDC Guidelines for Prevention of Intravascular Catheter Related Infections Joint Commission National Patient Safety Goals In legal cases, these documents are always used. In the court of public opinion, the hospital’s reputation is based on published outcomes from that facility. Many states now require the public reporting of outcomes like infection. Adherence to these standards and guidelines will assist with reducing and possibly eliminating these reportable