Arterial catheter

The focus assessment is detailed nursing assessment of specific body systems that relate to the presenting problem of patient and can also involve one or more body systems (RCHM, 2014). In this assessment it concentrates on a specific system of the body that presents problem. This may involve one or more body system. Assessment done to determine the progress towards achieving a desired outcome is also focused assessments. It is used to gather information on a specific health problem. A…

(80-100 mm hg) the partial pressure of oxygen that is dissolved in the arterial blood 3. HCO3: (21-28 mEq/L) this is the calculated value of the amount of bicarbonate in the blood stream. This is not a blood gas but "the anion of carbonic…

1. What combination of assessment findings determines nutritional status in these two patients? Nutritional status is the balance between a patient’s current nutritional supply and demand (Sole, Klein, Moseley, 2013, p. 81). In a critical care area, patients have special nutritional needs because the stress of their complex illness increases their metabolic rate and nutritional needs, In addition, they are assumed to be at nutritional risk due to lack of mobilization which can result to muscle…

Children’s of Alabama has medication precautions, fall risk precautions, and a “Do Not Use” list in place to protect patients. SBAR is used to effectively communicate patient and nursing needs to physicians. Pharmacy and the nursing staff verify medications before the medication is ever administrated to patients, to reduce errors. Call-lights are in place for patients to alert employees to wants and needs. Nursing Informatics help implement and educate employees on electronic charting.…

We discussed the importance of wanting to reduce CLABSIs and that it is a great topic of choice, seeing as how most oncology patients have a peripherally inserted central catheter (PICC), Central line, or a Hickman catheter. It is essential to keep in mind that these lines are accessed multiple times throughout the day and the more you access them the more likely it is to induce bacteria in the lines. One major component to think about it how oncology…

Management of Central Lines Sarah Dunbar, Lourie Grijalva, Brittany Matthews, Megen Price, & Lauren Sapp Introduction According to the Joint Commission (2012, p. v), Central Venous Catheters (CVCs) are the most frequent cause of healthcare-associated bloodstream infections, and about 3 million are placed in the United States annually. A central line associated bloodstream infection (CLABSI) is an infection in the blood that develops as a result of introducing bacteria into these…

Discussion Vascular access, along with airway management is a standard of emergency care, and is an essential part of cardiopulmonary resuscitation in many groups of patients. Peripheral vascular access is the most efficient means of gaining vascular access as it’s induces minimal trauma, is the safest method of gaining access to venous circulation. It may however be difficult in stressful situations and require several attempts despite its widespread usage failure may result in prehospital…

Southworth and three other RN co-worker in their article; The Journey to Zero Central Catheter–Associated Bloodstream Infection Culture Change in an Intensive Care Unit. take a step to bring their CLABSI rate to zero: Transparency and communication with all levels of personnel are imperative to success. Everyone is accountable for making…

A1/A1a. Problem/ Explain The identifying problem is Decreasing Central Line Bloodstream Infections in the Acute Care Setting by the Use of Multimodal Disinfectant Protocols. Collaboration was initiated with the assistance of the Hospital Chairperson of the Practice Council to initiate change in practice. Central Line Associated Bloodstream Infections (CLASBI) can result in financial burden and/or morbidity in the acute care setting. The financial burden associated with treating Central Line…

Standardizing central venous catheter care: hospital to home The guideline for Standardizing central venous catheter care: hospital to home was obtained from the National Guideline Clearinghouse. This guideline standardizes care of the central line to ensure continuity of care and decrease complications. Central line infection and thrombosis cause thousands of deaths each year and increases medical costs (CDC). Proper care of the central line utilizing antibacterial dressings, passive…