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Show COLLEGE OF NURSING UNDERGRADUATE RESEARCH ABSTRACTS Nicole T. Kelbert Alexa Doig 54 NURSING ERRORS MAY LEAD TO HOSPITAL ACQUIRED INFECTION NicoleT. Kelbert (Alexa Doig) College of Nursing University of Utah Introduction: Central line dressing changes put patients at high risk for hospital acquired infections (HAI) when there are procedural violations. Infection has been identified as a potentially life-threatening complication of central venous catheterization, with an associated estimated mortality of 1 2 % for each infection (Furuya, 2012). Methods: This observational study with a descriptive design examined the number and types of procedural violations that may cause HAI. Fifty oncology nurses from Huntsman Cancer Hospital were observed in a controlled simulation-lab environment performing a central line dressing change procedure.The nurses were either B.S. or A.D. prepared nurses with a range of 3 months to 16 years of experience. Data collection took place in the University of Utah College of Nursing Simulation Learning Center. The procedural steps in each dressing change were coded, and specific procedural violations were identified. The frequency and type of procedural violations were identified. Results: Results show that nurses may be contributing to bloodstream infections in several ways. First, to hand hygiene was extremely low with only 5 % of nurses washing their hands when they were supposed to. Furthermore, there were breaks in sterile field, and nurses practicing an individualistic style of dressing change despite a protocol could also lead to bloodstream infections. Conclusion: This research could lead to improved training techniques for nurses, as well as reduce the number of HAI related to central line dressing changes. Hand hygiene is the easiest way to prevent infection. Due to low hand washing adherence during the CVC dressing change w e recommend hospitals utilize a C VC dressing change kit. The kit provides nurses with step-by-step prompts. This should increase the incidence of hand washing, and increase CVC dressing change procedural adherence. References Furuya EY, Dick A, Perencevich EN, Pogorzelska M, Goldmann D, Stone P. Central line bundle implementation and impact on infection rates in US intensive care units (ICU). Fifth Decennial International Conference on Healthcare-Associated Infections, 2010. |
