Scrubbing the hub decontamination for peripheral intravenous catheter care

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This observational study (n = 108) found high compliance with “scrubbing the hub,” although scrub time was shorter than the recommended duration (average 6.1 seconds)” Slater et al (2019).

Highlights:

Of nurses, 99% “scrubbed the hub” of the needleless connector.
Of nurses, 3.7% were compliant with a 15-second needleless connector “scrub.”
Hand hygiene premedication preparation was 33%.
Hand hygiene postmedication administration was 65%.
Poorest hand hygiene rates observed in the ED and those wearing gloves.

Abstract:

Good hand hygiene and “scrub the hub” practices are important to prevent bloodstream infections. Compliance with hand hygiene before medication preparation (33%) and before medication administration (43%) showed room for improvement compared with postadministration (65%), the emergency setting and glove use were associated with poorer compliance (P < .01).

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Reference:

Slater, K., Cooke, M., Scanlan, E. and Rickard, C.M. (2019) Hand hygiene and needleless connector decontamination for peripheral intravenous catheter care—time and motion observational study. American Journal of Infection Control. March 5th. .

DOI: https://doi.org/10.1016/j.ajic.2019.01.022

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