These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced CLABSI rates
in more than 1,000 hospitals across the country. Slide 1. Guidelines to Prevent Central Line-Associated Blood Stream Infections Guidelines to Prevent Central Line-Associated Blood Stream Infections * Sherertz, et al. Ann Intern Med. 2000;132(8):641-648 * Merrer, et al. JAMA. 2001;286:700-7 Slide 8. Risk Factors for CLABSI (cont.)
Slide 9. Risk Factors for CLABSI (cont.) Image: Drawing of an infection site. There are five main areas from which catheter related infections can originate. Infection can occur hematogenously, from a distant local infection. Contamination of the catheter device prior to insertion, skin organisms, or contamination of the catheter hub can all cause infection. Contaminated infusate can also cause infection. Slide 10. Five Evidence-Based Steps to Prevent CLABSI
Slide 11. Hand Hygiene
Slide 12. Hand Hygiene Works!
Slide 13. Waterless Hand Hygiene Steps
Image to the right of text: Photograph of hands using a waterless hand sanitizer. Slide 14. Hand Washing Steps
Image to the left of text: Photograph of hands washing with water under a faucet. Slide 15. C-VAD Site Selection
Image: Photograph of a shoulder with a subclavian catheter inserted. Slide 16. C-VAD Site Selection: Special Considerations
Slide 17. C-VAD Line Selection
Slide 18. Aseptic Technique: Goals
Slide 19. Aseptic Technique
Image of ChloraPrep applicator. Slide 20. Evidence Supporting Chlorhexidine Use: Skin Prep-Meta Analysis Image of line chart comparing seven studies conducted between 1991 and 2000 that all support the use of chlorhexidine. From Ann Intern Med meta-analysis. Slide 21. Maximal Barriers Required for C-VAD Insertion
Slide 22. Maximal Barrier Precautions Decrease CLABSI Infections
Slide 23. Caveats: Catheter Insertion
*Ranson. J Hosp Infect. 1990;15(1):95-102. Slide 24. Post Insertion: C-VAD Care
Slide 25. Replacing C-VADs
*Eyer, et al. Crit Care Med. 1990;18(10):1073-9 . Slide 26. Suspected C-VAD Infections
*Mermel, et al. Clin Infect Dis. 2001;32(9):1249-72. Slide 27. Suspected C-VAD Infections (cont.)
Slide 28. C-VAD Line Cultures: Indications
Slide 29. C-VAD Line Cultures: Method
Slide 30. C-VAD Line Cultures: Interpretation
Slide 31. Blood Cultures
Slide 32. Peripheral Blood Cultures: Method
Slide 33. Arterial Line: Site Selection
Slide 34. Arterial Lines: Aseptic Technique
Slide 35. Arterial Lines: Barriers
Slide 36. Special Thanks Sean Berenholtz, M.D. Roy Brower, M.D. Raphe Consunji, M.D. Sara Cosgrove, M.D. Pamela Lipsett, M.D. Trish Perl, M.D. Peter Pronovost, M.D. Lisa Cooper, R.N. Back to Document Page last reviewed March 2018 Page originally created January 2012
Internet Citation: Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections. Content last reviewed March 2018. Agency for Healthcare Research and Quality, Rockville, MD. Which of the following is the default wrapping option when a graphic is inserted into a document?By default, Word sets text wrapping to In line with text when you insert or paste a new picture into a document.
Which of the following graphics formats is used with graphics and clip art with fewer colors?GIF (.
GIF or Graphics Interchange Format files are widely used for web graphics, because they are limited to only 256 colors, can allow for transparency, and can be animated. GIF files are typically small is size and are very portable.
Which of the following happens when you click a graphic in a Word document quizlet?Which of the following happens when you click a graphic in a Word document? Sizing handles appear. Which of the following applies column settings to a document? Which of the following keyboard shortcuts inserts a column break?
When you insert a table into a document the default size for the table is the width of the document?When you insert a table into a document, the default width is: The width of the document. You can evenly adjust spacing in columns and rows by using the Table Tool called: Distribute.
|