Running head: PICOT STATEMENT PAPERPICOT Statement Central Venous Catheters (CVCs) play an important role in the treatment of hospitalized patients, especially those with critical medical conditions. A CVC is a tube inserted into the largevein in the neck, chest, groin area or arm used to conduct medical tests or distribute fluids and medications to the patient. In most cases these catheters are necessary in saving the patient’s life,however there is a great risk that the patient contracts a bloodstream infection in the process. In the United States alone, between 250,000 to 500,000 Catheter Line Bloodstream Infections (CLABSI) are estimated to occur annually, with 10% to 30% of these cases resulting in mortality(Haddadin Y and Regunath H, 2019). CLABSI is the eighth leading cause of death in the U.S. , and has been associated with an increase in patient care cost, morbidity and mortality worldwide (Haddadin Y and Regunath H, 2019). This has led to a growing concern over the risk of infection in exposed patients and emphasized the need to improve care concerning the implantation and maintenance of CVCs. The Center of Disease Control (CDC), in collaboration with other organizations, has developed guidelines for the prevention of CLABSI and other healthcare infections. One of these guidelinesis known as the “CL bundle”, which focuses on catheter insertion and maintenance. According tothe CDC, CLABSI is preventable when evidence-based guidelines are properly followed and implemented. These guidelines have been implemented worldwide with great success; however, the problem continues to occur at a significant rate. So the question is, why does this continue to occur? What would be the effectiveness of the CL bundle in reducing CLABSI if all the elementsof the bundle were properly implemented? This paper will illustrate the effectiveness of this procedure (CL bundle) when all parts of the bundle are used in full to prevent CLABSI. If research supports this guideline, this means nurses should be properly educated in understanding
Running head: PICOT STATEMENT PAPERthe importance of being compliant with all CL Bundle care elements to effectively reduce CLABSI rates. In this paper, the author will identify the clinical problem and how it can result ina positive patient outcome by addressing evidence-based solutions, nursing intervention, patient care, health care agency, and nursing practice.