Nursing Audits Post Maintenance Bundle Education .

The CVC Maintenance Bundle Check the clinical indication why the CVC is in situ –is it still required? Assess and care for central venous catheter dressings . Adherence to every bundle element was required for the audit to be considered “adherent.” CVC care Use of Maintenance Kits or CVC Carts Procedure kits or carts containing supplies help to ensure all required sup-plies are available at the time of the procedure, including those required for dressing change, needleless connector change, and CVC removal (IC) ASSESSMENT BUNDLE RECOMMENDATIONS Daily Assessment of Catheter Site Survey of Nurses Knowledge Regarding CLABSI Prevention . CVC Maintenance Bundle •CVC Maintenance: •Daily assessment of line necessity •Critical assessment and decision making about condition of site/dressing •Sterile CVC dressing change •Access – 15 second scrub before entering line •Standardized Cap change •Curos cap •2% CHG Bathing •Patient/family education about risk of CLABSI. These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). Complete, Customized Kit for Central Line Insertions. Has CVC hub decontamination been performed before each hub 4. The Central Venous Catheter (CVC) insertion bundle and associated tools were first jointly published by SICSAG and HPS in May 2007. This course incorporates elements of the CVC bundle and trains healthcare staff about appropriate techniques for assessment, access, maintenance and removal of CVCs. Centurion's CVC Zone Bundle™ is a custom-built central line bundle with everything your team needs - in the desired sequence - to prevent infection, improve outcomes and offer the best patient care possible during and after central line insertion. Centurion Medical Products’ CVC Zone Bundle™ is a custom- built central line bundle with everything your team needs — in the desired sequence — to prevent infection, improve outcomes and offer the best patient care possible during and after central line insertion. Survey of nurses for Needleless Connector Access 0 10 20 30 40 50 60 70 80 90 100 Scrub the hub for 15 sec Pre-education Post education ponse. Perform proper care of infusion tubing . Because each entry into access points in the delivery system is an opportunity to A review of the content against the current available guidelines and evidence has now been undertaken by Infection Control Team, Health Protection Is the CVC dressing intact and changed within the last 7 days? Bundles incorporate evidence-based science into practices, and bundle use is recommended in central line–associated bloodstream infection (CLABSI) guidelines.1,2,3 More than a decade ago, the bundles were shown to reduce rates of central venous catheter (CVC)–related infections. Although CVCs enable the administration of life supporting medications and therapies, the presence of these catheters place patients at risk of catheter-related blood stream infections or central line associated bacteraemia (CLAB) which can be fatal. During monthly audits, auditors used the K-cards to ask bedside nurses standardized questions and to conduct medical record documentation reviews in real time. In the present project, a CVC maintenance bundle checklist (Appendix E) was used to observe nurses in the adult ICUs of an acute Texas hospital. Email: Keith Sipe Phone: 828-327-7000 x4613 Office Number: CDC 103 Keith Sipe. The Minnesota CLABSI bundles cover central line insertion, maintenance, and monitoring, and are intended to be used in all patient care areas in acute care hospitals.