Preventing Nosocomial Intravascular related Device Infection

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[Audio] Nurses play a key role in ensuring the safe administering and monitoring of IV therapy in healthcare systems such as this. Here, the majority of admitted patients have an IV catheter, thus making them more at risk of catheter related blood stream infections. Therefore, it is essential for nurses to be well-versed in infection prevention and safety compliance related to IV therapy. We will be discussing these duties and responsibilities in detail..

[Audio] ""Nosocomial infection" refers to an infection acquired during a hospital stay. Nurses have a key role in avoiding and regulating these infections. This involves guaranteeing obedience with safety and infection prevention regulations, as well as examining and tracking patients for signs and symptoms of nosocomial infection..

[Audio] As nurses, one of our most important duties is to ensure the safety of our patients while they receive IV therapy. Not only is it important to insert the tube correctly, but it is essential to keep the tube clean and sterile. This is paramount when considering the four most common nosocomial infections, which comprise 80% of all healthcare associated infections. These include Urinary tract infection, Surgical site infection, Pneumonia, and Intravascular device-related bloodstream infection. As healthcare professionals, it is our duty to do our utmost to prevent these infections and ensure the safety of our patients..

[Audio] Hospital Acquired Infections " Patients at Risk of 90000 deaths per year with an average cost of $14000 to $38000 per infection It is our duty as nurses to ensure the utmost safety compliance in IV therapy and to reduce the risk of HAI in our patients. With the appropriate infection prevention measures and protocols, we can drastically reduce the transmission and severity of HAI..

[Audio] Catheter-associated infections are a major concern for patients being treated with intravenous therapy. Pathogens can enter the catheter from the insertion site or along its surface, as well as by contact with hands, fluids and other medical equipment. To reduce the risk of infection, nurses must observe proper hygiene and safety practices..

[Audio] Nurses must make sure the safety of their patients is a priority, especially when performing IV therapy. It is critical to take precautions to stop catheters from getting infected from other parts of the body, although this is not a common occurrence. Additionally, it is essential to safeguard against infusate contamination as it can also serve as a source of potential infection..

[Audio] BSIs (Blood Stream Infections) are commonly caused by various pathogens, including Candida albicans, a type of fungus; Staphylococcus aureus, the most prevalent cause of skin infections; Enterobacter cloaceae, a bacteria found in various environmental sources; Staphylococcus epidermidis, a common cause of hospital-associated infections; Pseudomonas aeruginosa, a bacteria commonly found in water and soil; and finally, Enterococcus fecalis, a bacteria primarily found in the intestines of both humans and animals. It is essential that nurses possess knowledge of these pathogens, their potential risks and the necessary treatments..

[Audio] Our chief responsibility as nurses is to ensure the safety of our patients, including preventing infections like bloodstream infections (BSI). The National and State HAI Progress Report published in March 2016 claims that adhering to established infection control (IC) practices can reduce BSI by up to 50%. What causes BSI? Generally, poor IVT procedures and poor site maintenance are the primary culprits. That's why it is so important for us to ensure that we are following IC practices and doing everything we can to stop these types of infections..

[Audio] Hand hygiene is the most effective method for infection prevention and it cannot be overstated. Nurses must be aware of the current acceptable guidelines for handwashing and adhere to them consistently. Before undertaking any procedure, hands must always be clean and properly dried. Additionally, proper use of gloves and other barrier protection is essential to prevent spread of pathogens..

[Audio] In IV therapy, hand hygiene and aseptic techniques are critical for the prevention of intravascular catheter-related infections. Guidelines set by the Centers for Disease Control and Prevention suggest performing hand hygiene procedures before and after palpating catheter insertion sites, as well as before and after inserting, replacing, accessing, repairing or dressing an intravascular catheter. Aseptic technique should be maintained for the insertion and care of intravascular catheters to keep patients safe and healthy..

[Audio] In order to ensure patients receive safe and effective IV therapy, nurses must have a strong understanding of infection prevention and safety compliance. This slide outlines the duties and responsibilities of nurses related to hand hygiene and aseptic technique. When inserting peripheral intravascular catheters, clean gloves should be worn. For arterial, central and midline catheters, sterile gloves should be used. When changing the dressing on intravascular catheters, either type of gloves can be worn..

[Audio] Nurses must have an in-depth knowledge of Aseptic Non Touch Technique (ANTT) and its two conceptual approaches: Key-Part Key-Site Standard-ANTT and Surgical-ANTT, in accordance with the 2021 Standards. ANTT provides an orderly system that promotes precision and uniformity in aseptic practice. With the Key-Part/Site concept, nurses can rapidly identify which pieces of equipment must remain clean and sanitary throughout a procedure, to minimize the risk of infection and keep the patient safe. Standard-ANTT and Surgical-ANTT strategies allow nurses to tailor their technique according to different types of procedures, such as intravenous therapy, and generate the most effective methods of restricting germs at the site. To be compliant with regulations in 2021, nurses must comprehend and observe ANTT..

[Audio] We, as nurses, must uphold the utmost standards of hygiene and safety when providing IV therapies. The Aseptic Non Touch Technique is one way to do this. It entails protecting the entrance site of the vascular access device, as well as disinfecting the syringe tip, IV tubing spike, male luer end of the tubing, and the needleless connector. Incorporating this method is essential to deliver the best patient care..

[Audio] The Key-Part of the infusion system must be safeguarded from contamination and only handled using sterile gloves. After removing the protective cap and sanitizing the needleless connector, the Key-Part must only be touched with another part, like the syringe tip, IV tubing spike, male luer end of the tubing, and sanitized needleless connector. This is imperative to avert infection and guarantee safety compliance for IV therapy..

[Audio] Nurses are essential for ensuring infection prevention and safety compliance when it comes to IV therapy. ANTT (aseptic non touch technique) is vital in this regard, and includes the use of a protective cap on key-parts of infusion administration, as well as disinfecting the needleless connector when the cap is removed, to ensure that no key-parts are touched by anything other than another key-part. Patient safety is of utmost importance when it comes to IV therapy, and ANTT is considered the definitive measure in ensuring this..

[Audio] Nurses are crucial in making sure infection prevention and safety measures are adhered to when it comes to IV therapy. The Standard-ANTT approach consists of creating a general aseptic field, and an area should be designated with either single-use items or disinfected items in order to organize the necessary materials and maintain a sterile environment..

[Audio] To ensure safety and infection prevention in IV therapy, the Surgical-ANTT approach should be followed, accompanied by the use of a sterile drape or barrier during more complex procedures such as central VAD insertion, site care and dressing changes as well as implanted vascular access port access. This will ensure the Critical Aseptic Field is maintained..

[Audio] Nurses must always be sure to prepare skin aseptically before venipuncture. This is especially important when inserting catheters, where it is crucial to allow any antiseptics used to dry before beginning the procedure. Generally, when performing intravenous therapy, it is important to use 70% alcohol for peripheral venous catheter insertion and 0.5% Chlorhexidine for central venous catheter and peripheral arterial catheter insertion..

[Audio] Nurses are essential for effective IV therapy management. They must inspect the site regularly to detect any catheter-associated problems and change peripheral venous access sites when necessary. Additionally, it is very important to keep the IV medication administration system closed..

[Audio] Nurses must ensure the proper functioning and safety of dressing sites. The function of a dressing is to protect the area of venous access, stabilize the catheter in place, prevent mechanical damage, and keep the site clean. It's important that nurses understand the importance of proper dressing and ensure that these critical policies are followed correctly..

[Audio] It is our responsibility as nurses to guarantee the safety of our patients when providing IV Therapy. To accomplish this, we must stay up to date with the latest protocols and practices for changing dressings, as this is a major factor in keeping infections at bay. Non-transparent dressings, such as gauze, should be changed on a daily basis, while transparent dressings, such as Tegaderm, should be changed as required. Advantages of using transparent dressings involve being able to easily observe any problems at the entry site, the dressings being sterile, securely yet tenderly removable, and able to be waterproof at the same time as being semi-permeable. It is our job to make sure our patients are secure and that we are following the current protocols for their IV Therapy requirements..

[Audio] Nurses play a major role in healthcare, ranging from direct care to guaranteeing IV therapy that is compliant with safety regulations. Therefore, understanding infection prevention protocols is a must, as these nurses are devoted to delivering top notch quality care. The accompanying picture displays the hand hygiene procedures that must be undertaken, both before and after performing any IV therapy. The second photo outlines the measures for maintaining sterility while administering the IV. It is imperative to take both of these precautions to protect patients from infection, and to guarantee that the care administered is of the highest quality..

[Audio] Nurses are responsible for ensuring infection prevention and safety when dealing with IV therapy. For dressing the catheter site, sterile gauze or sterile, transparent, semipermeable material should be used, and the dressing should be changed if it gets wet, loose, or visibly dirty. It is important to remember that topical antibiotic ointment or creams should not be used, as this could lead to fungal infections and antimicrobial resistance..

[Audio] Nurses have an important role in ensuring that infections related to intravenous therapy are avoided. Following a dressing regimen for catheter sites is essential. This includes changing gauze dressings every two days and transparent dressings at least once a week, unless they appear to be soiled or loose. Complying with the defined regulations will help maintain a safe and effective use of catheters..

[Audio] Nurses must ensure that infection prevention and safety regulations for intravenous (IV) therapy are followed. This includes closely monitoring dressing changes at catheter sites to check for signs of infection, such as tenderness or fever. It is important to ensure that patients inform the nurses of any changes to the catheter site or new discomfort..

[Audio] Nurses must take great care to guarantee safety when it comes to IV therapy. It is necessary to replace the IV administration set (which includes side drip tubing, needleless access device, and stopcocks) when clinically indicated. Lipid emulsions should be replaced after each unit and blood and blood products must be changed every 24 hours, unless they are ordered to be infused consecutively. Furthermore, the vial for Propofol drips should be changed every 6 to 12 hour intervals. Following these replacements times is essential for ensuring the best possible safety and compliance..

[Audio] Nurses are essential in guaranteeing the safety and efficiency of IV therapy. They should take precautionary measures to make sure all parts of the system, such as administration sets and parenteral fluids, are compatible to reduce the possibility of leakage and breakage in the system. In addition, nurses should take steps to decrease the risk of contamination by cleaning the access port with 70% alcohol and only accessing it with sterile devices. By following these simple steps, nurses can assist in making sure IV therapy is secure for patients..

[Audio] Nurses must be vigilant when providing IV therapy to patients in order to ensure the safety of their patients. This includes inspecting administration sets and parenteral fluids for integrity as well as verifying that the expiration dates are up-to-date. This practice is critical in safeguarding the health of patients and avoiding the transfer of infectious diseases..

[Audio] Nurses have a great responsibility in administering medication, especially those that are administered intravenously. Extra precautions must be taken to ensure accuracy and safety, such as labeling the vial with the date it was first opened and refrigerating it after opening. The rubber diaphragm must be cleansed with alcohol before a device is inserted, and a sterile device should be used each time. Contamination must be avoided when penetrating the diaphragm, and the vial must be discarded according to the indicated number of days after opening. Knowing and understanding the proper ways to work with IV medications is a critical part of nursing..

[Audio] "Let's take a closer look at Alice, who is an example of the importance of proper Infection Prevention and Safety Compliance in IV therapy. Prevention of Needle Stick Injury is critical for the safety of patients and healthcare professionals alike..

[Audio] Examining data from the Centers for Disease Control on needle stick injuries, it has been found that 22 % of all needle stick injuries occurred during or after disposal, 19 % occurred before disposal and during clean up, and 52 % during use. This is an issue of great importance to be addressed, as prevention and safety compliance is essential when it comes to IV therapy..

[Audio] Nurses are vital when it comes to IV therapy, as they guarantee the safety of patients and healthcare personnel. Needle stick injuries stemming from sharps are one of the most typical dangers when administering IV therapy. 70% of such injuries take place during the item's usage, namely during the processing of specimens, when there is a collision with a sharp or a worker, when manipulating a sharp in the patient, during the handing, passing, and transferring of equipment and specimens, and when handling a suture needle. 15% of needle stick injuries occur before disposal, and 3% occur during or after disposal- this includes a sharp left in an unexpected spot, or during disposal or tidying up..

[Audio] Nurses must ensure accuracy and safety when delivering medication. This includes monitoring and determining the optimal infusion rate to not only ensure patient safety, but also to avoid needle stick injury. The graph illustrates that the acceptable range of infusion rates includes 32L/hr, 9.3, 7.6, and 6.4. Following safety protocols, such as selecting the proper flow rate, is a must at all times..

[Audio] Sharps containers are essential components of infection prevention and safety compliance in IV therapy. Highly elastic septa, clear housing, and seals for optimal flow rates are among its features. It is crucial for nurses to be familiar with the components and guidelines of sharps containers to ensure quality care and safety compliance..

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[Audio] Nurses have duties and responsibilities related to infection prevention and safety compliance in IV therapy. To ensure safety in the hospital, nurses must use safe work practices when handling needles and instruments, such as not recapping or bending needles and properly passing sharp instruments. Additionally, medical waste must be properly disposed of. Following these safety practices allows nurses to help create a safe environment for both healthcare providers and patients..

[Audio] Nurses have a responsibility to ensure infection prevention and safety compliance in IV therapy. This includes observing proper waste segregation and replacing sharps containers when two-thirds or three-quarters full. Additionally, sharps must always be disposed of in puncture-resistant containers to ensure the safety and wellbeing of healthcare practitioners and patients..

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