![]() Process changes can improve compliance in this area and are easy to implement: include hand hygiene on the checklist for central lines, keep alcohol-based hygiene dispensers prominently placed, and post signs on patient rooms as reminders to staff. Hands should be washed before and after palpating insertion sites or accessing, replacing or dressing a catheter. The central line bundle has five key components, according to American Sentinel University: By out-lining the nursing practices that catch potential problems before they occur, our guide supports nurses in their patient-advocacy role,” says Foster. It was developed specifically for nurses. “Our e-book explains the autonomous nursing actions that can prevent the incidence of HAIs. When implemented together, the bundled strategies result in better outcomes than when each strategy is implemented individually. ![]() To help prevent CLABSI, all nurses should be aware of the central line bundle, a group of five evidence-based strategies (described below) for the insertion and management of central lines. Nurses can be involved in all these strategies. With VAP, core prevention strategies focus on interrupting the three most common mechanisms by which it develops: the aspiration of secretions, the colonization of the aerodigestive tract, and the use of contaminated equipment. Many hospitals have implemented protocols for nurse-directed removal of unnecessary catheters – these allow for nursing assessment and intervention without a physician’s order. One goal is to minimize overall catheter use. Each type of infection has specific risk factors that nurses should be aware of, as well as core strategies for prevention (defined by the CDC as those that are backed by high levels of scientific evidence and have demonstrated feasibility.) This e-book is available for download at Nurses are responsible for managing indwelling urinary catheters, and can effectively employ core strategies to help prevent CAUTIs. To serve as a resource for nurses to review information about prevention and interventions for HAIs, American Sentinel University created a reference guide that outlines nursing’s role in preventing these three most common HAIs. “It’s important for nurses to be sure they do all they can to prevent HAIs from happening to their patients while saving their healthcare facility additional cost." “Nurses play a key role in minimizing the occurrence of these infections,” says Elaine Foster, PhD, MSN, RN, dean of nursing and healthcare programs at American Sentinel University. These device-related infections continue to represent a challenge to clinicians, requiring continual education, bundled interventions and evidence-based practice. The Centers for Disease Control and Prevention (CDC) estimates that three types of infections account for approximately two-thirds of all healthcare-associated infections (HAIs) - central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infections (CAUTI), and ventilator-associated pneumonia (VAP).
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