(精选)CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION教学课件.pptVIP

CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION The Central Line Bundle and YOU! 6/6/2013 Quality Assurance/Peer Review Report Privileged Pursuant to O.R.C. Section 2305.24, .251, .252 2018-3-16 University Hospitals 2 2018-3-16 University Hospitals 2 NATIONAL PATIENT SAFETY GOAL 2009 2009 National Patient Safety Goal or (NPSG.07.04.01) requires: Implementation of best practice or evidence-based guidelines to prevent central line-associated bloodstream infections (CLABSIs) for short and long-term central venous catheters (CVCs) including PICCs The deadly cost of CLABSIs: ~ 90 % of CLABSIs occur with CVCs Estimate of 14,000 – 28,000 lives lost per year Hospitalization prolonged a mean of 7 days Hospitalization costs ↑~ $3,700 - $29,000 October 1, 2008 CMS (Medicare) no longer reimbursing for CLABSIs acquired in the hospital 2018-3-16 University Hospitals 3 How Can We IMPACT Central Line Associated Blood Stream Infections (CLABSIs)? What is the Central Line Bundle? Includes the following bundle of 5 care components: 1. Hand hygiene 2. Maximal barrier precautions 3. Chlorhexidine skin antisepsis 4. Optimal catheter site selection 5. Daily review for line necessity and assessment with prompt removal of unnecessary lines 2018-3-16 University Hospitals 4 HAND HYGIENE – Just do it! 1. Perform hand hygiene before assisting with catheter insertion or manipulation. 2. Palpation of the insertion site should not be performed after antiseptic cleanse, unless aseptic technique is maintained. 3. Before and after inserting, replacing, accessing, repairing or dressing a central line. 2018-3-16 University Hospitals 5 MAXIMAL BARRIER PRECAUTIONS Use strict adherence as the inserter and all involved with the placement of a central line or guidewire exchange with the following: Compliance with hand hygiene Wear cap, mask, sterile gown and sterile gloves Cap – covers all hair Mask – covers nose and mouth tightly Sterile drape – covers patient from head to toe with a s