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Central Vascular Catheter Maintenance Care Bundles
 

Central Vascular Catheter Maintenance Care Bundles

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    Central Vascular Catheter Maintenance Care Bundles Central Vascular Catheter Maintenance Care Bundles Presentation Transcript

    • Central VascularCatheter Maintenance Care Bundles Victor Saravia MD. Internal Medicine Infectious Diseases
    • Why this Issue? The catheters infection rates were slightly higher than the global prevalence Increased days of hospitalization Increased cost of hospitalization Expected to achieve reduce the rates of infection and be more cost effective ff ti
    • The Intervention Standardized work protocols were established for insertion and maintenance of central venous catheters and care Th catheter placement procedure The th t l t d is performed by the most competent staff to prevent complications li ti The health care staff was trained in relation to the use of these bundles
    • The Results Package Implementation Education and training personnel gp Active surveillance of infections Individualization of the patient, individualized healing kit Use of chlorhexidine in the insertion and maintenance of the catheters Transparent dressing to permit visualization of the catheter insertion site
    • Results• Infection rates were compared before and after, showing it decreased significantly• Monthly meetings take place infections committee notification of results and / or possible infections or problems• The general community perceives an improvement in the procedure, demonstrating in an objective manner in the days of hospitalization of patients
    • Engaging Others The beginning of change was directed for medical director of the clinic, at that time Dr. Edgar Escalona. Promoted the establishment of the Committee of infections, with a nurse (Ms. Larissa Deninzon) as the main protagonist. Subsequently engaging representatives from all services services. At the beginning like any change was difficult, but now the committee is a tool that has become essential for all staff
    • Greatest Learnings / Largest Challenges• The most difficult thing is not to implement changes, is keep it. p g , p• Constantly train staff, not to forget the protocols.• Th main obstacle iis th h lth care The i b t l the health staff themselves, sometimes they do not understand the needs of these measures• The way to impact in other projects is by the example and showing the statistics
    • Best Advice Sustaining Change g g• Do not fear change • Surveillance and• The protocols works, allowing work monitoringg to standardize the way • Continuous training of• Create committees infections medical and nursing staff• The main beneficiary is the patient • R i i and updating of Revision d d ti f• Update knowledge management protocols constantly • Following the recommendations and standards of practice