CLABSIs have been estimated to occur in the United States hospitals in the range of 250, 000-500, 000 cases annually. This has resulted in high costs of care for patients who have been hospitalized. The need to cut down the costs associated with CLABSIs resulted in research aimed at developing a feasible solution. Research has yielded a mechanism that will see nurses educated on best practices that will them take an active role in the prevention of CLABSIs. This paper will focus on implementation of a plan to prevent central line associated blood stream infections by way of educating nurses. Problem Identification and Importance According to the Center for Disease Control (CDC), every year an estimated 41,000 Central line associated blood stream infections occur in hospitals in U.S. The infections are typically serious and result in protracted stay in hospitals with increased costs. These infections also come with an increased risk of mortality (CDC, 2012). CLABSI (central line associated blood stream infections) are typically prevented by proper management of the central line. CLABSIs are considered to be part of healthcare associated infections (HAIs) and have been reported to responsible for mortality ranging from 12-15%. In a study conducted by CDC, the findings revealed that approximately 43,000 CLABSIs occurred in hospitalized patients in ICU in U.S hospitals. There was a reduction in the number of CLABSIs by approximately 18000 in the year 2009. CLABSIs resulting from Staphyloccocus aureus represented the greatest decrease than even the gram negative rods like Candida spp and Enterococcus spp. In the same year, 23,000 CLABSIs occurred among inpatient individuals in the inpatient wards of U.S hospitals. In the year 2008, approximately 37, 000 CLABSIs occurred in outpatient clients receiving outpatient hemodialysis (CDC, 2011). These statistics serve to underscore the importance of CLABSIs in U.S hospitals. CLABSIs have resulted in an increased cost of medical treatment. Hospitalized persons are paying huge amounts of money for their medical costs (Moe, 2012). It is this CLABSI associated costs that created a need for research activities that would see the CLABSIs kept to a minimum. The research activities have resulted in current evidence based guidelines that when executed, the incidence of CLABSIs will reduce. The mechanism requires that nurses be educated on prevention of CLABSIs. CLABSIs are not only responsible for high medical cost but are also responsible for morbidity and mortality in pediatric and neonatal intensive care units (Bizzarro, 2011). According to Bizzaro (2011), although implementation of evidence based catheter care bundles has reduced the infection rates, CLABSIs remain a fundamental problem in the pediatric and neonatal critical care units. CLABSIs are responsible for both pediatric, neonatal and adult morbidity and mortality in U.S citizens. Costs According to a study conducted by Shannon, et al (2006), the infections that are acquired while in hospital add considerable mortality and morbidity to patient care. A detailed economic analysis of the hospital expenses and revenues in 54 patient cases who had contracted central line associated blood stream infections over a period of three years in two intensive care units was conducted. The financial data was compared to data of other patients who were of
Central Line Associated Blood stream Infections Name Institution Central Line Associated Blood Stream Infections A central line has been defined as an intravascular catheter terminating at the heart or close to it. The catheter may also be terminating in one of the “big“vessels that are used for purposes of infusion, hemodynamic monitoring and blood withdrawal (Moe, 2012)…
According to the Agency of Healthcare Research and Quality (AHRQ), “hospital-acquired infections, are the most common complication of hospital care, resulting in 1.7 million infections and 99,000 deaths each year” (2009). These infections are acquired by patients in a healthcare facility, while they are undergoing treatment for another medical condition.
es includes, ventricular assist device, cardiovascular devices, urinary catheter and penile implants .Other causes blood infections includes use of unscreened blood products, and contact between patients. For central line associated bloodstream infections, they are actually associated with increased length of hospitalization (Guerin, 2010).
Being confined in the hospital is normally not a wanted experience, but when a patient does go to a hospital, or when they are somehow required to stay there for a length of time, normally, patients expect a level of care from the medical staff as well as a level of sanitation and cleanliness that prevents complications or further issues from occurring.
The fears generated from criminal activities restrict people their basic freedom in participating in community activities. In every community, there some people who are very vulnerable to crime and crime related fears. Women, children, and old people are severely affected by criminal activities (Stack 6).
Central line-associated bloodstream infections (CLABSIs) happen when microbes get into the bloodstream by a central line (a tube that is inserted in a large vein to provide blood, medications, fluids, or to do specific medical tests rapidly. The long duration of hospitalization before catheterization, underlying medical circumstances, prematurity, area of placement of catheter or various other factors may result in increased risks of central line-associated bloodstream infection in patients.
Studies have shown that nurses have a significant role to play in preventing the HAIs since these negatively impact on the welfare of different people who may be affected. Mandatory and voluntary surveillance schemes are effective in dealing with the problem associated with HAIs and these should be properly implemented by the nurses.
rubs/ABHRs) to effect such practices in clinics and hospitals; professional health care workers are said to be the common starting point of nosocomial infections that abound within the actual health care situation because most of them do not conform with proper sanitation,
iotics (Ibrahim, 2000).They are a major cause of morbidity and mortality in immune compromised cases and patients who have hematologic malignancies because they receive intensive cytotoxic therapies (Apostolopoulou, 2010).The use of medical device also has a consequence of
ereas, the conventional methods focus only on the offender, offender’s background and the victim, and the mere objective is to identify and apprehend the offender. The most conventional method for crime prevention is to deny the offender access to the victim by physical
7 pages (1750 words)Research Paper
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