Michelle DeVries on Exploring Approaches ‘Beyond the Bundle’ to Help Decrease Vascular Access Device-Associated Infections

Fellow colleauge and infection prevention guru Michelle DeVries recently published in Infection Control Today and shares some evidence that it may be time to look beyond insertion and care & maintenance bundles to examine additional approaches that may be beneficial – for the patient and the institutions.

Exploring Approaches ‘Beyond the Bundle’ to Help Decrease Vascular Access Device-Associated Infections

#vascularaccess #FOAMva

Femoral PICC line placement August 1, 2021
'It is safe and feasible to place PICC through a superficial femoral vein under ultrasound combined with ECG positioning technology in patients with superior vena cava syndrome" Xiao et al (2021).
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IV drug risk reduction – Full Text August 1, 2021
"Nursing risk management can reduce the incidence of errors in clinical pharmacy intravenous admixture services and the incidence rate of infusion reactions, improve infusion safety, and promote the improvement of the subjective satisfaction of patients" Yang et al (2021).
IVTEAM
Intraosseous vascular access device comparison August 1, 2021
"Each of these devices provides an effective route for fluid resuscitation, drug delivery, laboratory evaluation, and shortening the timeframe for established vascular access, provided that the person obtaining the access is acquainted with the use of the device" Drozd et al (2021).
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CICC complication prevention – SIC protocol August 1, 2021
"This paper describes a standardized protocol (S.I.C.: Safe Insertion of Centrally Inserted Central Catheters) for the systematic application of seven basic beneficial strategies to be adopted during insertion of central venous catheters in the cervico-thoracic region, aiming to minimize immediate, early, or late insertion-related complications" Br […]
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CLABSI in critically ill patients August 1, 2021
"Our findings suggest that catecholamine inotropes is an independent risk factor for catheter-related infections in critically ill patients undergoing CRRT" Liu et al (2021).
IVTEAM

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