I am involved in a Performance Improvement group in our LIII NICU. Our project is to research ways to decrease our central line infection rate. I have only worked in NICU for a few months as a new grad, and have seen several things that don't make sense. One of them is that we bridge tape our UAC's UVC's. This technique leaves the cord stump with the lines exposed to air/diaper/god knows what else. I have suggested prepping the abdomen with betadine/chlorhexidine, looping the lines flat against the abdomen, taping them flat, and covering the whole site with a transparent dressing, eg Tegaderm. My rationale behind this idea is that once everything is covered, the lines will be secure, and bacteria won't be able to track down the lines into the bloodstream. Let me know what you all do at your NICU's. Any rationale would be helpful. The nurses on my unit said that's a good idea, but noone else seems interested in changing the way we do things.
Thanks in advance for your input!
SteveRN21 ~ NICU