WHY A peripherally inserted central catheter, more commonly referred to as a PICC line, is a wonderful tool in any medical setting. Providing access for drug administration, blood testing, nutrition, etc. Anything, such as medication, supplemented into the bloodstream will work significantly faster than alternative routes like orally, or even intramuscularly. Whatever is provided via the PICC line will immediately be transported in the blood to desired areas in the body; no longer necessitating a
LEADERSHIP STRATEGIES The ability to promote structure, safety, and positive environments for both patients and colleagues alike are unique characteristics to quality leadership. Those same traits are essential to possess to have a cohesive interdisciplinary team of healthcare providers. There are various strategies that a nurse can employ to foster the collaboration of a particular team. The most influential strategy is the use of active communication, more specifically assertive communication
Central Line, Pediatric A central line is a soft, flexible tube (catheter) that is used to give medicine or nutrition through a person’s veins. The tip of the central line ends in a large vein (vena cava) just above the person’s heart. Medicine given through the central line is quickly mixed with blood because the blood flow within this large vein is so great. This dilutes the medicine so it is swiftly delivered throughout the body. A central line may be placed if: A child needs long-term
common infections are central line-associated bloodstream infections, catheter care urinary tract infections, surgical site infections and transmission of Clostridium difficile. Lessons and Knowledge Central line-associated bloodstream infections also known as CLASBI are infections that stem from microorganisms that spread from the catheter site to the surface of the catheter. To reduce the risk of infection, central lines should be medically necessary and shouldn’t be inserted for comfort. They are
People 2020, 2014, para. #4). Healthy People 2020’s goals are to prevent morbidity, and prevail well-being by decreasing disease. Most common types of healthcare-associated infections (HAIs) identified by the Health People 2020 (2014) website include “catheter-associated urinary tract infections, surgical site infections, bloodstream infections, pneumonia and clostridium difficile” (2014, para. #6). However, the health care industry faces many challenges; one of them being an increased costs caused by
Nurse-Led Central Venous Catheter Insertion Central venous catheters (CVC) have various uses for patients in both the inpatient and outpatient settings. Their purposes range from administration of total parenteral nutrition, to administration of vesicant medication, to providing access to patients with poor peripheral vascularity, as well as hemodynamic monitoring (Alexandrou, Spencer, Frost, Parr, Davidson, & Hillman, 2009, p. 1485). Traditionally, insertion of CVCs have been performed by surgeons
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012)
evidence based and retrieved from best available resources. One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn... ... middle of paper ... ...that
David Vitter, a former U.S. Senator, once said, “I continue to believe that if children are given the necessary tools to succeed, they will succeed beyond their wildest dreams!” The goal of Child Life Services is just that, they want to equip sick children and their families with the right tools, both figuratively and literally, to help the children succeed. Child Life Services is a relatively new concept in many areas. There has been a growth in the Child Life Services in the last fifty years. This
the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was
“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868) In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008) The World Health Organization outlines 6 areas of quality
Every day nurses face ethical dilemmas. Ethical dilemmas allow nurses to learn more about themselves and help shape their morals and values. The article “In the name of good intentions: nurses’ perspectives on caring for a pregnant patient in a persistent vegetative state” discusses a case from admission to discharge involving a twenty-two-year-old pregnant patient, Judy, with an anoxic brain injury due to a heroin overdose and the nurses’ accounts of how they felt during the client’s hospital