Treating skin infections with Outpatient Parental Antibiotic Therapy
Treatment strategies for the management through the utilization of observation units (OU), Outpatient Parental Antibiotic Therapy (OPAT), and newly developed antibiotics for the use against
Applying heat prior to peripheral intravenous cannulation
Application of a thermal stimulus is a common procedure used to promote venodilation for peripheral intravenous cannulation (PIVC); however, the effects of thermal stimulation on
How cost-effective are sharp safety-engineered devices
To estimate the cost-effectiveness of safety-engineered devices (SEDs) relative to non-SEDs for winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles” Fukuda
Innovative alternative use of the SecurAcath® subcutaneous anchor device
We report our preliminary experience with the use of SecurAcath® to secure CSF drainage, either ventricular or spinal, to the skin” Frassanito et al (2016).
Impact of chlorhexidine coated PICC on CLABSI and upper extremity DVT rates
The impact of chlorhexidine (CHG)-impregnated versus non-CHG peripherally inserted central catheters (PICCs) on risk of CLABSI is unknown. Venous thromboembolism (VTE) is also a complication
Ultrasound guidelines include central and peripheral vascular access advice
Particular attention has been given to clinical significance (level of evidence and the more practical grade of recommendation” Dietrich et al (2016). Extract: “EFSUMB has
Discussion on ultrasound-guided peripheral vascular guidelines
This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound
Peripheral IV catheter bundle and extended dwell time
A large, urban community hospital developed an insertion bundle to support the safe implementation of a policy of extended dwell time (clinical indication) for inpatient
Which changes do you need to implement when working towards zero CLABSI
Patients who have a central line (CL) are at increased risk for developing a CL-associated bloodstream infection (CLABSI), which increases morbidity, length of stay, and
Vascular access professionals and infection prevention
Vascular access professionals play a critical role in infection prevention in patient care by practicing frequent hand hygiene, maintaining a clean and sanitary clinical environment
Vascular access service review results in improved practice outcomes
Modifications to this vascular access service are associated with improved permanent access rates for incident and prevalent patients. There was an overall improvement of service
The Role of vascular access teams in antimicrobial stewardship
Competent vascular access practice includes participation on interprofessional teams and provision of expert knowledge that enables medication administration and process monitoring” Carrico and Wiemken (2016).
Safety of peripherally inserted central catheters versus midline catheters
A peripherally inserted central catheter (PICC) is placed in the upper extremity with its distal end terminating in the superior vena cava. A midline catheter
Appropriate peripherally inserted central catheter utilization
We identified that PICCs accounted for 45% of total central line days, were present in 40% of CLABSIs, and 30% of PICC placements were ordered
Reducing blood culture contamination and improving waste management
Would eliminating waste in the form of blood culture (BC) collection practices that reduce contamination, appropriate central line culturing and using proficient phlebotomy teams lead
12-Year analysis of CLABSI outcomes in an ICU and non-ICU setting
“We aimed to describe the incidence of CLABSI over the course of 12 years after implementation of continuous and systematic interventions in ICU and non-ICU setting in a 300-bed Brazilian Hospital.” de Miranda et al (2016).
Reducing blood culture contamination rates
The hospital experienced a steady increase in blood culture contamination rates for 2012 and 2013, 2.36% and 2.84% respectively. The benchmark was set at ≤2%”
Sharp waste management in a developing country
This study was conducted to improve competency of the Healthcare Workers (HCWs) and assess their compliance to standard healthcare waste management for promoting wellness, preventing
Intervention to reduce CLABSI in spinal cord injury patients
Here we describe a successful intervention to reduce CLABSI in this challenging population” Lewis (2016). Abstract: Central line associated blood stream infections (CLABSI) are a
First-attempt success between tibial and humeral intraosseous insertion
The aim of the study was to compare the success rates of the IO proximal tibia and proximal humerus head access performed by paramedics using
Central venous catheter associated left atrial perforation
A rare complication associated with the clinical use of central venous catheters is perforation of the heart or major vessels” Wong et al (2016). Abstract:
Central venous access device-related endocarditis
This report describes a case of Bacillus cereus related endocarditis that presented as a sickle cell crisis and bacteremia” Wright (2016). Abstract: Bacillus cereus typically
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