alcohol or chlorhexidine/alcohol based prep to the clean the catheter hub every time the line is accessed and to scrub for at least 15 seconds and allow solution to dry for 30 seconds. This policy does not mention the use of protective covers or caps for the needless hubs and relies on the disinfecting of the alcohol wipe as its only defense against bacteria entering the line. This policy would need to be modified to include the use of disinfecting caps in central line bundles when not in use in order to reduce the occurrence of CLASBIs. The policy regarding Peripheral IVS also mandates that there be a sterile cap on all IV tubing when not in use. The policy dictates that they be scrubbed with alcohol as well before use. The use of the disinfecting cap would mandate that sterile caps be eliminated and disinfecting caps take their place. The policy would also change based on the use of alcohol swabs for cleaning these hubs as the hospital may or may not keep this policy in place in correlation with the implementation of disinfecting caps.
Patient Diversity does not have a direct effect on the implementation of disinfecting caps. The implementation of disinfecting caps relies solely on the presence of a central line and needless connector. There is no evidence to suggest that different genetic makeups are at higher risk for developing HAIs and CLASBIs. The disinfecting cap is to be implemented on all central and peripheral IV connector hubs regardless of the patient’s genetic makeup and co morbidities. The implementation of disinfecting caps is meant as a prophylactic intervention on all patients with the presence of central lines.
- Summer '18
- Nosocomial infection