Thursday, April 24, 2014

Nurses Can Effectively Use Hospital Approach to Infection Prevention in Dialysis Settings

Safety assessment tools and interventional approaches, such as those used by nurses in hospitals, are also effective in reducing catheter-related blood stream infections (CRBSIs) in outpatient dialysis settings, Nephrology News & Issues reports.

The study, A Pilot Quality Improvement Program to Minimize Catheter-Related Bloodstream Infection in an Outpatient Hemodialysis Setting, was presented at the 45th annual meeting of the American Nephrology Nurses Association. Research was led by Nancy Culkin of DaVita HealthCare Partners, a specialty contract research organization focusing on drug and device development.

The study concludes that approaches which have successfully reduced CRBSIs in hospitals can be applied in chronic dialysis facilities, including procedural kits with materials such as: a checklist, antimicrobial swabs for skin prep, triple antibiotic ointment for onsite application, alcohol swabs to facilitate hub scrub, and exit site dressing.

An INQRI-funded study published last year in Critical Care Medicine found that a nurse-led intervention combining a “bundle” of evidence-based practices with a comprehensive safety program dramatically reduced the mean rate of central line-associated bloodstream infections. The study was conducted by David Thompson and Jill Marsteller, associate professors at Johns Hopkins University in the School of Medicine and Bloomberg School of Public Health, respectively, and by J. Bryan Sexton, now at the Duke University Health System Patient Safety Center.

“It’s important to note that this was a nurse-led intervention,” Marsteller said. “The units’ success in reducing infections not only demonstrates the effectiveness of the intervention, but also confirms that nurses can have and should play a central role in quality improvement interventions.”

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