Final presentation research week 6[1]

•Download as PPTX, PDF•

1 like•205 views

namarley21

Nur518 analysis of reports

Health & Medicine

Central Line Associated Blood
Stream Infection Prevention in
non-ICU Settings
Erica Badillo, Natalie Farquharson, DeAngel Jones, Heather Smith
NUR/518
March 3, 2014
Cindy Boyer

Central Line Blood Stream Infections
• 250,000 CLABSIs occur annually
• Lead to higher mortality and morbidity rates
• Increase lengths of stay

Recommendations for CLABSI prevention in
any setting
• Continuing education
• Quality Assurance
 Intravenous tubing protocols
 Sterile technique

Recommendations for CLABSI prevention in
any setting
• Nurse-Patient Ratios
• Care Bundles
 Hand Hygiene
 Chlorhexadine dressings
 Catheter hub disinfection
 Removal of lines when medically permitted

TRUSTWORTHINESS & VALIDITY
• Credibility
• Transferability
• Dependability

Conflict in research findings
• Gaps exists in the area of CLABSI’s in::
1. specificity of research
2. dedicated educational department
3. educational process

Confusion
• Confusion exists in the area of:
1.responsibility for central line maintenance
2. documentation of central line care

Research Utilization Process
Identification of
the problem
In-depth
literature
review
Evaluation of
previous studies
to determine
applicability of
findings

Applicability of Findings
• Professional nurses share an obligation to review current literature
• Allows for clarification of the problem
• Evidenced-based standardized care
• Prevention initiatives, protocols, guidelines
• Goal- to improve patient care and patient outcomes

Assessing Applicability of the Findings
• The interventions and prevention strategies are applicable to
multiple clinical settings
Findings were
consistent in
multiple studies
• It is expected that these interventions will be just as effective
at preventing infections in other settings
• A strong leadership team is vital to ensure staff compliance
• Many facilities have adapted a CLASBI prevention checklist.
Bundle interventions
have been shown to
significantly decrease
infection rates

Applying the research findings
Education
Support
Compliance
Procedure
carts
Hand hygiene
Aseptic
technique
Checklists
Guidelines IV team
Daily need
assessments
Avoid femoral
site
Chlorhexadine
Line
maintenance
Culture of
safety
Accountability
Quick removal

References:
• Centers for Disease Control and Prevention. (2014). Central Line-Associated Bloodstream
Infection: Resource of Patients and Healthcare Providers. Retrieved February 2, 2014 from:
http://www.cdc.gov/HAI/bsi/CLABSI-resources.html
• Kallen, A., Patel, P., O’Grady, N. (2010). Preventing catheter-related bloodstream
infections outside the intensive care unit: expanding prevention to new settings. Clinical Infectious Diseases:
An Official Publication of the Infectious Diseases Society; 51 (3), 335-41.
• Morrison, T. (2012). Qualitative analysis of central and midline care in the
medical/surgical setting. Clinical Nurse Specialist; 26(6):323-8. doi:10.1097/NUR.0b013e31826e3f2a
• The Joint Commission. (2010). Preventing Central Line-Associated Infections. A
Global Challenge, A Global Perspective. Retrieved from
http://www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf

What's hot

April 18, 2018 Decision aids can be highly-effective tools to promote shared decision making and support patients in becoming engaged participants in their healthcare. Join us for the first-ever convening with leaders behind a Washington experiment in certifying decision aids, as state officials, health systems, and on-the-ground implementation experts share lessons learned and discuss policy recommendations for national or statewide approaches to decision aid certification. For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/decision-aids-for-patients-with-serious-illness

Dawn Stacey, Theory and Knowledge of Patient Decision Aids: the Evidence

The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics

This study aimed to identify risk factors in medication management in Australian residential aged care (RAC) homes. Only 18 out of 3,607 RAC homes failed aged care accreditation standard in medication management between 7th March 2011 and 25th March 2015. Text data mining methods were used to analyse the reasons for failure. This led to the identification of 21 risk indicators for an RAC home to fail in medication management. These indicators were further grouped into ten themes. They are overall medication management, medication assessment, ordering, dispensing, storage, stock and disposal, administration, incident report, monitoring, staff and resident satisfaction. The top three risk factors are: “ineffective monitoring process” (18 homes), “noncompliance with professional standards and guidelines” (15 homes), and “resident dissatisfaction with overall medication management” (10 homes).

Text data mining of aged care accreditation reports to identify risk factors ...

Siyu Qian

Solidarity trial - challenges and success

Institute for Clinical Research (ICR)

Bea Brown, Sax Institute

Sax Institute

One Health Antibiotic Stewardship Human Health Examples - Dr. Dawn Sievert, Associate Director for Antimicrobial Resistance, Division of Foodborne, Waterborne, and Environmental Diseases, CDC; Dr. Edward J. Septimus, V.P. Research & Infectious Diseases, Hospital Corporation of America; Dr. Lauri Hicks, Director, Office of Antibiotic Stewardship, CDC, from the 2017 NIAA Antibiotic Symposium - Antibiotic Stewardship: Collaborative Strategy for Animal Agriculture and Human Health, October 31 - November 2, 2017, Herndon, Virginia, USA. More presentations at http://www.swinecast.com/2017-niaa-antibiotic-symposium-antibiotic-stewardship

Dr. Edward J. Septimus - One Health Antibiotic Stewardship Human Health Examples

John Blue

Poster MedInfo 2013 Wiggers et al. definitief

Anne-Marieke Mulder-Wiggers

Glyn Elwyn, Shared Decision Making... a dangerous idea

The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics

Dominick Frosch, Many Miles to Go……Implementing Shared Decision Making in Rou...

The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics

Bea Brown | a locally tailored intervention to improve adherence to a clinica...

Sax Institute

Professor Sally Redman AM, CEO of the Sax Institute, recently addressed a CIPHER forum to share how the SPIRIT trial is testing a program designed to increase the use of research in policy and programs. CIPHER, the Centre for Informing Policy in Health with Evidence from Research, is an Australian collaborative research centre managed by the Sax Institute, that is investigating the tools, skills and systems that might contribute to an increased use of research evidence in policy. For more information visit www.saxinstitute.org.au.

Sally Redman | Early findings from SPIRIT

Sax Institute

Central Review Services_PRA_JAN2016

Katrina Wilkie

Sabrinav3

Sabrina Luisi

The Effect of Radiology Data Mining Software on Departmental Scholarly Activity

Eric Hymer

A research breakthrough is said to take approximately 17 years to translate into clinical practice. This time lag can have considerable implications for patients, their carers, health services, and public funds. To address this time lag, the Cancer Institute NSW and the Translational Cancer Research Centres (TCRCs) across the state developed a community of practice (CoP) to increase knowledge, skills, and capacity in implementation science.

Building the bridge from discovery-to-delivery: A Community of Practice in Ca...

Cancer Institute NSW

Evidence Based Practice

Dr. Binu Babu Nursing Lectures Incredibly Easy

Getting a GRIP October 2007

suelb

From the event "Specimen Science: Ethics and Policy Implications," held at Harvard Law School on November 16, 2015. This event is a collaboration between The Center for Child Health and Policy at Case Western Reserve University and University Hospitals Rainbow Babies & Children’s Hospital; the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School; the Multi-Regional Clinical Trials Center of Harvard and Brigham and Women's Hospital; and Harvard Catalyst | The Harvard Clinical and Translational Science Center. It is supported by funding from the National Human Genome Research Institute and the Oswald DeN. Cammann Fund at Harvard University. For more information, visit our website at http://petrieflom.law.harvard.edu/events/details/specimen-science-ethics-and-policy

Sara Chandros Hull, "Informed Consent for Genetic Research on Rare Diseases: ...

The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics

Gai Moore, Sax Institute

Sax Institute

PT 610: EBP and Information Management

Clista Clanton

Illawarra Shoalhaven Cancer and Haematology Network (ISCaHN) has been using an oncology information system (OIS) as a complete electronic record for over 4 years. There has been both considerable and valuable treatment data generated at the point of care. Are we able to rapidly assess the outcomes of our own treatment data, and use this outcome data to help inform the delivery of care to our patients?

ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...

Cancer Institute NSW

What's hot (20)

Dawn Stacey, Theory and Knowledge of Patient Decision Aids: the Evidence

Text data mining of aged care accreditation reports to identify risk factors ...

Solidarity trial - challenges and success

Bea Brown, Sax Institute

Dr. Edward J. Septimus - One Health Antibiotic Stewardship Human Health Examples

Poster MedInfo 2013 Wiggers et al. definitief

Glyn Elwyn, Shared Decision Making... a dangerous idea

Dominick Frosch, Many Miles to Go……Implementing Shared Decision Making in Rou...

Bea Brown | a locally tailored intervention to improve adherence to a clinica...

Sally Redman | Early findings from SPIRIT

Central Review Services_PRA_JAN2016

Sabrinav3

The Effect of Radiology Data Mining Software on Departmental Scholarly Activity

Building the bridge from discovery-to-delivery: A Community of Practice in Ca...

Evidence Based Practice

Getting a GRIP October 2007

Sara Chandros Hull, "Informed Consent for Genetic Research on Rare Diseases: ...

Gai Moore, Sax Institute

PT 610: EBP and Information Management

ISCaHN Treatment Dashboard: Providing clinician decision support with data ge...

Viewers also liked

101859009

Akira Chen

Powerpoint passive voice

encarnan

Exprimiendo linkedIn

Granadatur.es & Capacity.es

Web20

gwynr

Impressions workshop media branding

medienoekonomie

Till bloggen

Domi1870

Guía para encontrar empleo

Granadatur.es & Capacity.es

Estudio Anual de Redes Sociales 2016

Granadatur.es & Capacity.es

Final presentation research week 6[1]

namarley21

Telepost Parcel Terminal

Aviatehnologie S.A.

Robofisher Executive Summary

Aviatehnologie S.A.

Reported speech-ppt

encarnan

Viewers also liked (12)

101859009

Powerpoint passive voice

Exprimiendo linkedIn

Web20

Impressions workshop media branding

Till bloggen

Guía para encontrar empleo

Estudio Anual de Redes Sociales 2016

Final presentation research week 6[1]

Telepost Parcel Terminal

Robofisher Executive Summary

Reported speech-ppt

Similar to Final presentation research week 6[1]

1 Quantitative Synopsis and Appraisal Studentfirstname Studentlastname College of Nursing, Resurrection University NUR4440: Research in Nursing Professor Carina Piccinini February 14, 2020 2 Quantitative Appraisal and Synopsis The purpose of this paper is to summarize and appraise a research study testing the use of disinfectant caps on intravenous (IV lines) to reduce the rate of hospital associated bloodstream infections (BSI). The Centers for Disease Control and Prevention (CDC, 2019) reports that central line associated bloodstream infections (CLABSI) remain a major concern in hospital settings causing fatalities, increased length of stay, and increased costs. The CDC (2019) recommends proper maintenance of intravenous lines to reduce the risk of infection. Current research is still looking to define what proper maintenance should be, including whether disinfectant caps influence rates of infection for intravenous (IV) lines. Summary of the Study The CDC recommends that healthcare workers disinfect all needleless connectors for peripheral and central IVs prior to connection to reduce the risk of CLABSIs without further recommendation on the type or length of disinfections. The authors of this study note other studies have tested disinfecting caps and sought to confirm those results. Merrill et al. (2014) conducted a quasi-experimental study to identify if disinfectant caps reduce CLABSI incidence and the relationship between nursing compliance with the caps and CLABSI rates. This study was held in a single Trauma 1 hospital with 430 beds in the United States. The researchers obtained their sample through nonrandom convenience sampling by including all patients meeting inclusion criteria at the hospital starting January 2012. Participants were included if they had a central or peripheral intravenous line, of any age, and were admitted to 13 specific hospital floors. Subjects were excluded if they were on the following floors: emergency department; labor, delivery or post-partum; ambulatory care, surgical services; and Commented [CP1]: This answers “Why is this important to study?” It’s not just ensuring our patients do not get CLABSIs…it goes beyond that to fatalities, length of stay in hospitals, and healthcare costs. The CDC and other healthcare related organizations are great sources of information on the importance of topics. Commented [CP2]: What is known (recommendation to disinfect ports), not known (what specifically should be used), and gap in knowledge (confirmation of other study results). This information is found in the introduction to every research article. DO NOT use the discussion/conclusions section of an article for this information! It will be WRONG. Commented [CP3]: Study being summarized/appraised is correctly cited. Specific research design stated. Setting of study stated. 3 well-baby nursery. The study did ...

1 Quantitative Synopsis and Appraisal Studentf

MartineMccracken314

1 Quantitative Synopsis and Appraisal Studentf

AbbyWhyte974

1 Quantitative Synopsis and Appraisal Studentfirstname Studentlastname, Studentfirstname Studentlastname, Studentfirstname Studentlastname, Studentfirstname Studentlastname College of Nursing, Resurrection University NUR4440: Research in Nursing Professor Carina Piccinini February 14, 2020 2 Quantitative Appraisal and Synopsis The purpose of this paper is to summarize and appraise a research study testing the use of disinfectant caps on intravenous (IV lines) to reduce the rate of hospital associated bloodstream infections (BSI). The Centers for Disease Control and Prevention (CDC, 2019) reports that central line associated bloodstream infections (CLABSI) remain a major concern in hospital settings causing fatalities, increased length of stay, and increased costs. The CDC (2019) recommends proper maintenance of intravenous lines to reduce the risk of infection. Current research is still looking to define what proper maintenance should be, including whether disinfectant caps influence rates of infection for intravenous (IV) lines. Summary of the Study The CDC recommends that healthcare workers disinfect all needleless connectors for peripheral and central IVs prior to connection to reduce the risk of CLABSIs without further recommendation on the type or length of disinfections. The authors of this study note other studies have tested disinfecting caps and sought to confirm those results. Merrill et al. (2014) conducted a quasi-experimental study to identify if disinfectant caps reduce CLABSI incidence and the relationship between nursing compliance with the caps and CLABSI rates. This study was held in a single Trauma 1 hospital with 430 beds in the United States. The researchers obtained their sample through nonrandom convenience sampling by including all patients meeting inclusion criteria at the hospital starting January 2012. Participants were included if they had a central or peripheral intravenous line, of any age, and were admitted to 13 specific hospital floors. Subjects were excluded if they were on the following floors: emergency department; labor, delivery or post-partum; ambulatory care, surgical services; and 3 well-baby nursery. The study did not report any demographic information about participants, the number of participants, or attrition or loss to follow up. The intervention involved applying a Curos brand disinfectant cap to all ports on peripheral lines, central lines, and IV tubing when not in use on patients. The nurses on the involved units were trained on the use of the disinfectant caps with a 1:1 follow up by the researchers. Nurses were then responsible for placing caps. The researchers intermittently observing nurses for compliance to the intervention and reporting compliance to nursing departments twice a week. CLABSIs were defined as a positive blood culture drawn within 48 hours symptom onset, and C ...

1 Quantitative Syno

MartineMccracken314

1 Quantitative Syno

AbbyWhyte974

Quality in Critical Care_١١٣١٠١.pptx

Bassam411094

REVIEW: CENTRAL LINE-ASSOCIATED BLOODSTREAM2 REVIEW CENTRAL LINE-ASSOCIATED BLOODSTREAM2 Central Line-Associated Bloodstream Infections Grand Canyon University Translational Research and Evidence-Based Practice DNP-820-O501 Running head: CENTRAL LINE-ASSOCIATED BLOODSTREAM 2 October 9, 2018 CLABSI Supporting Literature Central Line-Associated Bloodstream Infection (CLABSIs) in a fatal infection that results from bacteria or viruses entering the bloodstream through the central line. A central line, also known as a central venous catheter (CVC), refers to a tube used by doctors to administer medication, fluids or to collect blood from the body of a patient (Deason & Gray, 2018). Central Line-Associated Bloodstream Infection is one of the leading causes of deaths each year in different countries across the globe. Central Line-Associated Bloodstream Infection has been an area of interest for many healthcare researchers representing a diverse body of knowledge about the infection while still expanding on what is already known. The paper is an analysis of articles related to CLABSIs with the major themes of concern to the authors including risk factors, interventions, CLABSIs and Hospital Acquired Infections (HAIs), benefits of the preventive measures and the common symptoms of CLABSIs. There were 200 articles that were established to talk about the CVCs, CLABSIs, risk factors, intervention, and benefits of preventive measures. Through inclusion and exclusion criteria many journal articles were left out because of being written in other languages rather than English. Therefore, the use of the English language index the Cumulative Index of Nursing and Allied Health Literature (CINAHL) was used to search related journal articles. Other search tools includeThe National Center for Biotechnology Information (NCBI) – PubMed. Studies older than five years were excluded to ensure that the research remained current and up to date. Using real-time cases or conditions helps to improve the quality and validity of the resulted research. Questions Posed in the Studies Afonso, Blot, & Blot (2016) seeks to establish how hospital-acquired bloodstream infections can be prevented through the use of chlorhexidine gluconate-impregnated washcloth bathing in intensive care units. In the study by Chidambaram (2015), the question raised is, what associations dental procedure and CVCs have. Education, Simulated Training, Experience, and Knowledge Kadium (2015) inquired into how the education program for one month, based on the evidence-based guidelines recommended by CDC, will improve registered dialysis nurses’ knowledge regarding CVC maintenance care? Other researchers that focus on how education, experience, and workshops enhance prevention or reduction of CVC infections include; El-Sol & Badawy, (2017), Leistner, Thürnagel, Schwab, Gastmeier, & Geffers (2013), and Soffle, Hayes, & Smith (2018). Dougherty (2014) questions the potential solutions in reducin.

REVIEW CENTRAL LINE-ASSOCIATED BLOODSTREAM2REVIEW CENTRAL .docx

zmark3

THE 10 STRATEGIC POINTS FOR THE PROSPECTUS, 21 THE 10 STRATEGIC POINTS FOR THE PROSPECTUS, 28 DPI Project Milestone:10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Running head: THE 10 STRATEGIC POINTS FOR THE PROSPECTUS, 1 The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project The 10 Strategic Points Broad Topic Area 1. Broad Topic Area: The topic taken into consideration is the Central Line-Associated Bloodstream Infections (CLABSIs) and prevention Introduction 2. Introduction · The paper is an analysis of the CLABSIs infection and how best the infection can be prevented or even eliminated among patients. · The infection is characterized by a catheter gaining entry into the bloodstream, greatly affecting either the inferior or the superior vena cava or the vessels of the neck. · The location of the catheter makes entry of pathogens into the bloodstream very occasional. Patients thus become sick easily. · The risk factors associated with the infection can result from the healthcare provider and also the patients and include; contamination on insertion, the skin flora of the patient, non-intact dressing, poor nutrition, position of the central line, poor patient and healthcare provider hygiene. · Symptoms include redness, swelling, discharge at the central line exit, fever, chills, respiratory distress, and altered cognitive state. · The infection can be prevented, through monitoring of the patients for any signs and symptoms, ensuring proper hygiene practices, and keeping patients educated about management of their central line. · The paper gives all these information in detail, why there is a need to address Central line-associated bloodstream infections (CLABSIs) and how best the infection can be handled both by the health care givers and the patients. Literature Review 3. Literature Review: 1. Primary points basis four sections in the Literature Review: a. Background of the problem/gap: · Researchers have dedicated numerous efforts towards the cause and the probable symptoms related to Central line-associated bloodstream infections (CLABSIs) that one needs to be on the look-out for. · Attention has thus been shifted from the different measures to prevent the occurrence of the infection among patients. · There arises an urgency to intervene and develop effective measures to curtail the incidence of CLABSIs. · The use of proper hand hygiene and skin aseptic techniques over the insertion site is necessary for preventing microbial infections · The nurses need to have the significant knowledge associated with evidence-based practices for the Central line-associated bloodstream infections (CLABSIs), their attitude towards the guidelines and the utilization of the hygienic measures for the Central Venous Catheter (CVC) patients. b. Theoretical foundations (models and theories to be the foundation for the project) · The efficacy of training of nu.

THE 10 STRATEGIC POINTS FOR THE PROSPECTUS,21THE 10 STRATEGIC P.docx

todd801

EVALUATION: EMPIRICAL RESEARCH 2 EVALUATION: EMPIRICAL RESEARCH 7 Running head: EVALUATION: EMPIRICAL RESEARCH 1 Evaluation: Empirical Research Introduction The primary purpose of the research study has been to evaluate if, in adult patients with Central Venous Catheters (CVC), interventional staff education about hub hygiene provided to RN’s who access the CVC impact Central Line-Associated Bloodstream Infections (CLABSI) rates compared to pre and post-intervention assessments over a two-month period. CLABSI rates will be compared to the Patient Safety Component from the Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network’s (NHSN) that includes identifying the causation and surveillance methods to track device-associated infections (Centers for Disease Control and Prevention, 2016). In addressing the issue and providing the answer the to the research question, this researcher will examine the literature available on the stated topic. Some of the research articles on the subject show similarities regarding research approaches and themes and some have differences. The researcher also looked for evidence that suggests that the data supported the conclusion, and, in some studies, the findings answered the research question. Evaluation of Research Regarding similarity in the theme, the researcher did find some regularity in the articles by O’Neil et al. and Salma et al. In the research study, “A Central Line Care Maintenance Bundle for the Prevention of Central Line-Associated Bloodstream Infection in Non-Intensive Care Unit Setting,” O’Neil et al. (2016) have suggested that there is a higher rate of compliance with optimal dressing care practices in the control group against the expectations. The primary theme of the research study has been the degree of hygiene maintained by nursing professionals in the context of caregiving in a central line care maintenance setting. In the research study a 12-month study was conducted by Caroline and associates to establish the effectiveness of a central line care maintenance bundle in the reduction of Central Line–Associated Bloodstream Infection (CLABSIs) in general medicine wards. They substantiated their research by disseminating educative guidelines and proper hands-on training for catheter insertion and care for nurses of the experimental group against those of a control group, along with asepsis (hygiene and evaluation of microbiological data). The trained nurses were instructed to examine the central line dressings twice a week for secureness or any purulent discharge. The results of the study revealed higher rates of compliance in optimal dressing care practices in the control group against the expectations. They exemplified a marginal reduction in the incidence of CLABSIs in the intervention group over the control group. The study lacks documentation of dating the dressing changes-a key factor in CLABSI prevention. Moreover, the research is restricted.

EVALUATION EMPIRICAL RESEARCH 2EVALUATION EMPIRICAL RESEARCH .docx

turveycharlyn

CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2 CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2 Central Line-Associated Bloodstream Infections Literature Review Kerry S. Murphy Grand Canyon University Translational Research and Evidence-Based Practice DNP-820-O501 Dr. Kari Lane September 26, 2018 Running head: CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2 Central Line-Associated Bloodstream Infections Literature ReviewComment by Microsoft Office User: The heading of introduction is inferred in APA format I. Introduction Central Line-Associated Bloodstream Infection (CLABSIs) in a fatal infection that results from bacteria or viruses entering the bloodstream through the central line. A central line, also known as a central venous catheter, refers to a tube used by doctors to administer medication, fluids or to collect blood from the body of a patient (Deason & Gray, 2018). Central Line-Associated Bloodstream Infection is one of the leading causes of deaths each year in different countries across the globe. Central Line-Associated Bloodstream Infection has been an area of interest for many healthcare researchers representing a diverse body of knowledge about the infection while still expanding on what is already known. The paper is an analysis of articles related to CLABSIs with the major themes of concern to the authors including risk factors, interventions, CLABSIs and Hospital Acquired Infections (HAIs), benefits of the preventive measures and the common symptoms of CLABSIs. Comment by Microsoft Office User: Add a description of how the literature search was completed. Tell the reader how you did your literature search, which databases you searched, how many articles were found, and how you eliminated articles to come to the ones you included here. II. Questions Posed in the Studies a. Afonso, Blot, & Blot (2016) seeks to establish how hospital-acquired bloodstream infections can be prevented through the use of chlorhexidine gluconate-impregnated washcloth bathing in intensive care units. In the study by Chidambaram (2015), the question raised is, what associations dental procedure and CVCs have. b. Kadium, M. (2015) inquired into how the education program for 1 month, based on the evidence-based guidelines recommended by CDC, will improve registered dialysis nurses’ knowledge regarding CVC maintenance care? c. CDC and NCBI (2011) raise the research question, how many people have been affected in the USA from 2001-2009? d. Srinivasan, Wise, Bell, Cardo,Edwards, Fridkin, Jernigan, Kallen, McDonald, & Patel (2011) considers questioning the perception of central line-associated bloodstream infection. e. Dougherty (2012) questions the potential solutions in reducing incidences of central-line associated bloodstream infections have to be created in line with the clinical setting and careful consideration of the patients and the organizational culture. f. Lin, Apisarnthanarak, Jaggi, Harrington, Morikane, Thu, Ching, Villanueva.

CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2CENTRAL LINE-ASS.docx

sleeperharwell

Recruitment in cancer trials

Bhaswat Chakraborty

Confirmation of the Validity of the Central Line Bundle as a Measure of a Hea...

Heather Gilmartin

Prevention of Central Line-Associated Bloodstream Infections (CLABSIs) 2 Prevention of Central Line-Associated Bloodstream Infections (CLABSIs) Submitted by Kerry Sean Murphy DPI Project Proposal Chapter 3 - Methodology Doctor of Nursing Practice Grand Canyon University Phoenix, Arizona July 20, 2019 CHAPTER THREE: Methodology Introduction This project will be exploring the prevention of Central Line-Associated Bloodstream Infections (CLABSIs). In this chapter, the discussion will focus on examining the variables that would help in preventing, controlling, and reducing the incidences of bloodstream infections. The methodology section will describe the objectives and describe the activities the project will entail to meet the objective of lowering infection rates. Further, the chapter will look into the methods of data collection and ways of analyzing the data as well as the ethical considerations the project will need to take into account. Statement of the Problem There is a need to have the CLABSI maintenance bundles due to cases of infection that have been recorded involves the adults that have been admitted to the intensive care units. According to Mishra et al., (2016), there are still several cases reported in India on such infections and in spite of the existence of guidelines for maintenance Central Line-Associated Bloodstream Infections (CLABSIs) continue to remain a problem. Clear Lake Regional Medical Center in Webster Texas reported a total of 18 hospital-acquired infections (HAI) in 2018. In 2019 in two quarters the facility has already reported 20 HAI ("SIR Report | HAI | CDC," 2019). There is a need to develop procedures and expand education that would improve and reduce the number of HAI like CLABSI. Comment by Kathryn Flynn: Please describe what this is to the non nurse before terminology is used. Comment by Kathryn Flynn: It would be a lot more credible for the justification to be in research from US. Comment by Kathryn Flynn: Use APA format (author, year) Clinical Questions The clinical questions are how to develop different ways in which the CLABSI can be minimized, specifically among patients greater than 65 years of age. Objectives of the project will look to answer the following questions (i) What is the influence of the staff training on maintenance of a higher level of hygiene after insertion and cleanliness of insertion sites? Comment by Kathryn Flynn: This is subjective. Use evidence based, etc. and nte why it’s better than existing care. (ii) How is consistency in the application of the evidence-based practices likely to impact infections rates after insertion using improved site maintenance? Comment by Kathryn Flynn: How will this be measured? Has this question been approved? Comment by Kathryn Flynn: Subjective. State what intervention you are implementing and use the same name for the intervention at every location in your writing. This will give the reader clarity. (iii) How CLABSI maintenanc ...

Prevention of Central Line-Associated Bloodstream Infections (.docx

stilliegeorgiana

ArticleCritique_Presentation

Swarali Tadwalkar

Chapter 25

bodo-con

Evidence-Based Practice and the Future of Nursing

Other Mother

8 Catheter-Associated Urinary Tract Infections (CAUTI) Walden University Leadership Competencies in Nursing and Healthcare NURS-4220-5 Catheter-Associated Urinary Tract Infections (CAUTI) The healthcare system must provide safe and quality care to all patients. For years, hospitals nationwide have struggled with healthcare-associated infections (HAIs). Since HAIs are considered preventable events in a hospital setting the Centers for Medicare and Medicaid Services (CMS) established reimbursement changes and hospitals are focusing more on patient safety practices and improving processes to have better patient outcomes (Thornlow & Merwin, 2009). According to The Centers for Disease Control and Prevention (CDC, 2017), approximately seventy-five percent of hospital-acquired urinary tract infections are associated with a urinary catheter with a prolonged use being the most critical risk factor for developing a CAUTI. Also, CAUTIs can cause an overabundance of complications included but not limited to gram-negative bacteremia, sepsis, and mortality (Skanlon, 2017). In a long-term acute care hospital (LTACH), prolonged and unnecessary use of indwelling urinary catheters is interrelated with a higher risk of catheter-associated urinary tract infections (CAUTI) and extended lengths of stay (LOS) (Felix, 2016). The purpose of this paper is to reduce the usage of indwelling catheter days and decrease CAUTI rates from 2.48 to below the target rate of 1.71 by utilizing prevention practices in a 72-bed long-term acute care hospital emphasizing on the assurance of a continuous improvement process. This proposal consists of implementing alternatives before deciding to insert an indwelling catheter, utilizing maintenance bundles, and daily assessment of the necessity of the catheter. All these interventions are aiming at preventing and decreasing catheter-associated urinary tract infections (CAUTIs). The role of nurses in the prevention of CAUTIs is critical; we are the frontline of patient care and safety. Although, sometimes we encounter situations where a CAUTI occurs, the quality of care we provide to our patients reflects by the interventions we take to prevent our patients from getting an infection. Every action we make while providing care for a patient is an essential step in the quality of their care. Most patients admitted into long-term acute care have wounds or infections that require long-term antibiotics. These patients come in from acute care hospitals, and in the majority of the cases patients already have an indwelling urinary catheter, however, there are situations where the patient doesn’t come with an indwelling catheter, and nurses get orders to place one on admission. Finding alternatives to either discontinue or insert a foley is an essential part of the daily nursing assessment and on the hospitalization of these patients. Important factors to consider while assessing the patient are mobility, cognitive status, gender, and wounds. L.

8Catheter-Associated Urinary Tract Infections (CAUTI)Walden .docx

sodhi3

8Catheter-Associated Urinary Tract Infections (CAUTI)Walden .docx

blondellchancy

Enrolment of trial patients challenges & strategies

Bhaswat Chakraborty

Enrolment of trial patients challenges & strategies

Bhaswat Chakraborty

L. Johnson_NR660_Standardization PPT Presentation

Lesley Johnson

Recently uploaded

☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalore Karnataka Booking Details Are here: just visit website: https://girlsinbangalore.com #Call Girl In Bangalore, #Bangalorecallgirls #CallgirlserviceBangalore, #CallgirlsinBangalore 07-May-2024( Mj) Click On WhatsApp Chat +91-7304373326 Bangalore Escorts Make You Feel Like Royalty Bangalore Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...

Sheetaleventcompany

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...

GENUINE ESCORT AGENCY

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Service Number Mohali Call Girls Mohali Just Call 6367187148 Top Class Call Girl Service Available ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* #S07 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...

karishmasinghjnh

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 9004268417 Neha Thakur Booking Contact Details WhatsApp Chat: +91-9004268417 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant;$S2 making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...

Anamika Rawat

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lonely Housewife In Top Rated Hotel WhatsApp Chat : +91-9257276172 Get More Information About Jaipur Escorts Service Jaipur Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...

khalifaescort01

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night girls hear seeking Navi Mumbai Escorts I’m sweet , warm , beautiful and friendly, independent escort girl. My body is sexy and natural. All my pictures are recent and real. InCall and outcalls as well offer class and good service. Don’t hesitate to contact me, message me on whatssap. I’m waitting for you We Are Provide Escorts Service All OYO Hotels ,3*,4*,5* Star Hotel And Home Flat, Apartment. Guest-House. Services In -Call And Out – Call Both Are Services Available. 24Hrs. Any Time Any Where Call Whatsapp, +91-◖9833363713 ◗ Our Services and Rates: – – In call Shot 1500 Out Call Short 2000 : – In call Night 6000 Out Call Night 7000 Minimum To Maximum Range Available Only Serious And Genuine Persons Can Contact Us : +91-◖9833363713 ◗ More Information And Contact Profile Real Pic Visit Our Website City Wise Escorts Service Agency. Good Looking Cheap And Best Models Girls U Can Get Best Click On Link

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...

aartirawatdelhi

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High profile Girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S10 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Payal:-- 9352988975

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

chetankumar9855

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Available Our agency presents a selection of young, charming call girls #J11 available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives,#J11 College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Lucknow ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 7877925207 🔝. for details Operating 24/7, we serve various locations in Lucknow, including Green Park, near metro stations. For premium call girl services in Lucknow 🔝 7877925207 🔝. Thank you for considering us!

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...

adilkhan87451

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In Hyderabad Escorts Service Escorts Service Available Whatsapp Chaya ☎️ : [+91-9352852248 ] Escorts Service Hyderabad are always ready to make their clients happy. Their exotic looks and sexy personalities are sure to turn heads. You can enjoy with them, including massages and erotic encounters.#P12Our area Escorts are young and sexy, so you can expect to have an exotic time with them. They are trained to satiate your naughty nerves and they can handle anything that you want. They are also intelligent, so they know how to make you feel comfortable and relaxed SERVICE ✅ ❣️ ⭐➡️HOT & SEXY MODELS // COLLEGE GIRLS HOUSE WIFE RUSSIAN , AIR HOSTES ,VIP MODELS . AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE PROFILes Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & HOTEL Star Hotel Service .In Call & Out call SeRvIcEs : ★ A-Level (star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without condom ★ANAL SERVICES.

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...

Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k along with Free Room Call TO mr Kapoor book Fun:9711199012 Delhi Call ME WHATSAPP RAHUL 9711199012 Provide VIP escort service CALL ME 9711199012 100% satisfaction call 24hrs..% SHORT 2OOO/OUTCALL=2=SHORT=5000 AND Night 7OOO/- FORM INDIAN , NEPALI ,KASMARI MANIPURI HOT GIRLS AND MATURED HOUSE WIFE BOOKING ONLY DECENT GUYS AND GENTLEMAN NO FAKE PERSON FREE HOME SERVICE IN CALL FULL A.C ROOM SERVICE IN SOUTH DELHI satisfied guaranteed (AGE 21) College girls , party girls and also housewife. LOCANTION ~ DELHI,NOIDA,GURGAO NCR Call OR WHATSAPP Kapoor 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Centre Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call ME WHATSAPP RAHUL 9711199012 LOCANTION ~ DELHI,NOIDA,GURGAO Call ME WHATSAPP RAHUL 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Center Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call OR WHATSAPP Kapoor 9711199012 07-05-2024(chd)

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

BhumiSaxena1

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts | 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A060524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...

chennailover

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Profile Most Luxurious Call Girl With Real Photos Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...

parulsinha

"Call Girls Indore VIP Service.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP CALL ME "

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...

mahaiklolahd

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available ★> Whatsapp Number-9521753030 <★ ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available

Janvi Singh

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...

GENUINE ESCORT AGENCY

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy Bhabi Ready For Sex At Your Doorstep Booking Contact Details Whatsapp Chat :+91-6297143586 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 1-may-24

Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...

vidya singh

8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad

GENUINE ESCORT AGENCY

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service

GENUINE ESCORT AGENCY

Recently uploaded (20)