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    1. QUESTION

    This is a two part assignment. A draft of your presentation is due in discussion post on 12/11/2018 at 8:00am. The final version due to course assignment website on 12/12/2018 at 8:00am.

     

    The purpose of this assignment is for you to present a summary of your proposal and share with the class your knowledge and expertise on this specific aspect of evidence-based practice. After completing the quality improvement proposal paper, you should summarize your paper into a presentation. Presentation formats include PowerPoint or handouts with/without audio/video aids. PowerPoint presentations should be a maximum of 12 slides (please refer to unit 6 of the APA tutorial in the Toolkit section of the classroom for guidance on how to do a presentation). This presentation will be posted for everyone to view and respond.

     

    Articles use should not be older than 5 years

    Just scholarly and peer reviewed articles not older than 5 years.

     

     five-six atmost articles/ Human Resource and services Administration should be one of the required sources

     

 

Subject Nursing Pages 4 Style APA

Answer

Central Line-Associated Bloodstream Infection

Central-line associated blood stream infection is a common aspect in many healthcare settings. Research has shown that it is among the leading causes of death, morbidity, and increased medical expenses in most intensive care units across the globe (O’Meara& Nagarsheth, 2015). A central-line associated blood stream infection can be defined as a blood stream infection that is not related to an infection in another site which has been confirmed in the laboratory and occurs within the first 48 hours of central line placement (Weber & Rutala, 2013). It is in the light of this context that this paper discusses how the prevention of central-line associated blood stream infections can be improved in healthcare settings.

Causes of Central-line Associated Blood Stream Infection

There are various causes of central-line associated blood stream infections among patients including contamination on insertion, non-intact dressing, poor hygiene, and prolonged duration of the catheter, just to mention a few (O’Meara & Nagarsheth, 2015). In this case, contamination on insertion may occur if the intravascular catheter is not sterilized effectively or the care provider fails to adhere to the infection prevention practices before insertion. Non-intact dressing may also create room for germs or bacteria to enter the central line site thus leading to infection (Marschall et al., 2014). Similarly, poor hand hygiene may promote contamination of the central line cite thus increasing the chances of patient infection. Furthermore, prolonged duration of the catheter may lead to central-line associated blood stream infection.

 

 

Strategies for improving the prevention of Central-Line Associated Bloodstream Infection

Hand Hygiene

One significant strategy that can be used to improve the prevention of central line-associated bloodstream infection is proper hand hygiene. In other words, proper washing of hands or the use of alcohol-based hand sanitizer can help minimize contamination of the central line cites thus preventing infection. Studies have pointed out that over 50 percent of central line-associated bloodstream infections in the intensive care units are caused by poor hand hygiene (Stevens & Schulman, 2014). As a result, care providers are recommended to ensure high standards of hygiene before and after palpating the catheter insertion sites; before and after insertion; or any invasive procedure to minimize infection

Maximal Barrier Precautions

Maximal barrier precaution plays a key role in minimizing infections and enhancing patient safety. It entails, strict compliance to infection prevention practices such as wearing a cap, sterile gown, a mask, and gloves (Kusek, 2012). Similarly, the patients should be covered by a large sterile drape during the insertion process. In this regard, these practices facilitate high standards of patient safety, as well as, preventing central line-associated bloodstream infections.

Adequate Training of Healthcare Providers

Proper training of care providers is a vital step in ensuring patient safety and improving health care delivery. That is to say, nurses and other care providers should be trained effectively on important safety measures and procedures, as well as, strategies for minimizing central line infections (Aswathappa, 2013). This will ensure that patients are handled with highly qualified health professionals thus minimizing infections and promoting patient safety in healthcare settings.

In conclusion, central-line associated blood stream infections have become a major problem in many healthcare settings across the globe. Studies have shown that they are among the leading causes of death, morbidity, and increased medical expenses, in most intensive care units. Some of the major causes of central-line associated blood stream infections include non-intact dressing, poor hygiene, contamination on insertion, and prolonged duration of the catheter. In this case, the prevention of the infections can be improved through proper hand hygiene, maximal barrier precautions, and proper training of care providers.

 

References

Aswathappa, K. E. M. A. L. (2013). Human resource management: Text and cases. Tata McGraw-Hill Education.

Kusek, L. (2012). Preventing central line-associated bloodstream infections. Journal of nursing care quality27(4), 283-287.

Marschall, J., Mermel, L. A., Fakih, M., Hadaway, L., Kallen, A., O’Grady, N. P., … & Yokoe, D. S. (2014). Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology35(S2), S89-S107.

Miller, S. E., & Maragakis, L. L. (2013). Central line-associated bloodstream infection prevention. Current opinion in infectious diseases25(4), 412-422.

O’Meara, L., & Nagarsheth, K. H. (2015). Central Line Associated Blood Stream Infection. Encyclopedia of Trauma Care, 303-304.

Stevens, T. P., & Schulman, J. (2014). Evidence‐based approach to preventing central line‐associated bloodstream infection in the NICU. Acta Paediatrica101, 11-16.

Weber, D. J., & Rutala, W. A. (2013). Central line–associated bloodstream infections: prevention and management. Infectious Disease Clinics25(1), 77-102.

 

 

 

 

 

 

 

 

Appendix

Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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