insert both peripherally inserted central lines and umbilical lines as well as

Insert both peripherally inserted central lines and

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insert both peripherally inserted central lines and umbilical lines as well as maintain the dressing changes every seven days and when noted, by the bedside nurse, to be un-occlusive. The insertion procedure has a direct impact on this score as well as the maintenance for the duration of the central line. Central Line-associated Bloodstream Infection (CLABSI) in the Neonatal ICU (NICU) is always a top priority. This patient population is at an extremely high risk due to prematurity and comorbidity. As an agent of change, I propose a closer look into our maintenance of
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the central lines and education for bedside nurses in the assessment of a pristine versus non-pristine dressing and when to notify the Neonatal Transport Team for a dressing change. In a study of independent risk factors for CLABSI in NICU patients, catheter hub colonization was the strongest predictor of subsequent CLABSI followed by exit site colonization, weight < 1 kg, postnatal age >7 days and days of total parenteral nutrition” (Stevens & Schuman, 2012, p. 12). Currently we, the infection control committee, are researching the use of a BioPatch, an anti-microbial disk on the exit site, in patients that are greater than 36 weeks. Our current practice we use BioPatch on patients only greater than 48 weeks. In a recent study “evidence shows that the use of a BioPatch can help in reducing infection; however, … their immature skin predisposes them to higher incidences of skin breakdown” (Short, 2018, p. 150). I am eager to see if this practice change can impact our scores. I also
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  • Spring '16
  • Pediatrics, Intensive care medicine, U.S. News & World Report

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