Mrs Michelle Bolte1, Mr Arun Babu
1HNE Tamworth Hospital, Tamworth, Australia
Methods: Investigations using the patient’s notes examined past SABSI PVC infections. A retrospective look back on the 2 incidences through the medical records informed us of care practices, dwell time of cannulas, documentation and care of device. Staff questionnaires were used for ward nurses to assess the barriers and enablers of skill required for PVC insertion, in particular, knowledge that is required to care for the device. The results informed an education bundle to address the findings.
Results: A training bundle was introduced that addressed the findings of the investigations and surveys. The barriers identified were lack of opportunity for training to insert PVCs and knowledge of caring for a PVC. Since the bundle was initiated there has been an absence of device associated SABSIs for the last 2 years. Nurses had a pivotal role to play in reducing and preventing Healthcare associated infections because of their direct role in patient care.
Background: Over a 2 year period a rural surgical ward acquired 2 health care associated Staphylococcus blood stream infections (SABSI) associated with a Peripheral Venous Cannula (PVC). The procedure of cannulating a patient involves a direct entry of the device into the circulatory system, is therefore is an increase in risk for infection. The procedure requires the clinician to have the skill and knowledge for inserting and caring for the device. Hospital acquired infections increase the morbidly and mortality, length of stay and increased costs to health, as well as the psycho-social impacts to the patients and carers.
Biography: Nuckols,T.K., Keeler, E., Morton, S., Anderson, L., Doyle, B., Booth, M., Shanman, R., Grein, J., & Shekelle, P.(2016). Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systematic Review. JAMA Internal Medicine, 1843.
Rhodes,D., Cheng, A.,C., McLellan, S., Guerra,P., Karanfilovska,D., Aitchison,S., Watson, K.,Bass,p., & Worth,L.,J., (2016). Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannuale:successful implementation of a care bundleat a large Australian health service. Journal of Hospital Infection, 86-91.