Infection Prevention Manual

EXPOSURE CONTROL PLAN IMPLEMENT BEST PRACTICES OR EVIDENCE-BASED GUIDELINES TO PREVENT CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS Purpose: to enhance the safety and quality of patient care provided, to reduce morbidity and mortality, and to improve health regardless of the practice setting. Th e Board of Directors assign responsibility for the oversight and coordination of the development, testing, and implementation of the Best Practices implementation to prevent Central line associated Bloodstream infections (CLABSI) to the Director of Nursing, also set a work plan that identifies: • what resources are needed; • how and where the resources will be obtained; • who will responsible for implementing the work plan and set a time line of when the Best Practice will be fully implemented Home Infusion Therapy involves the administration of medications using intravenous, subcutaneous, and epidural routes in the home setting. Drug therapies commonly administered via infusion in the home setting include antimicrobials, chemotherapy, pain management, parenteral nutrition, and immune globulin. Providers of home infusion therapy services include registered nurses to ensure proper patient education and training and to monitor the care of the patient in the home. It is the location of the catheter tip that determines whether a catheter qualifies as a central line, not the location of the catheter insertion site or the type of device inserted. A catheter is considered a central line, (or CVC,) if the tip of the catheter ends in the lower one third of the superior vena cava to the junction of the superior vena cava and the right atrium. This practices applies to the agency when our staff: 1. access an implanted port, CVC, or PICC * flush a central line * draw blood * administer medication 2. de-access an implanted port 3. perform a CVC or PICC dressing and cap change 4. teach the patient/family how to self-manage and care for a central line 5. insert a PICC, if applicable. The Agency identify the resources needed as the required education of our staff responsible for providing central line catheter care and maintenance and patient/family education. The topics for staff education are to include the following: * Healthcare-associated infections * The importance of infection prevention * CLABSI and patient safety * Venous access device anatomy and physiology * Types of central lines * Central line necessity evaluation and criteria for removal * Evidenced-based practice: recommendations for implementing CLABSI prevention strategies in the care and maintenance of central lines * Identifying and managing central line complications * Preventing CLABSI through patient education