brutuss7

What are everyone's blood stream infection rates looking like? What measures are being taken to prevent them?:balloons:

How is everyone's blood stream infection rates out there? What measures are being taken to prevent them?:trout:

I am in charge of a newly formed infusion team. We survey, approve PICC line insertions and monitor, assess, and change all central line dressings. I am interested in any literature that pertains to increase in blood stream infections from these positive pressure caps. We did well below the CDC rate in December to find us above the rate in January. We are trying to find the causes and eliminate them. Any help would be appreciated.

What exactly is this?

We instituted an insulin protocol recently and have found that the finger sticks for blood glucose are destroying the patient's fingers. Any suggestions re products that due less damage to the fingers, other protocols for obtaining blood, etc., would be appreciated.

Check out aacn's oral care protocol for prevention of VAP. The latest edition of Critical Care Nurse has a CEU article about this.

KEK, can you get documentation regarding why you were terminated? Then, you could address each 'reason' in the form of a grievance. If you made a mistake, wouldn't it be more productive to coach you, rather than get rid of you? What happened to the person who set the rate at 160/hour? Also, if the administration is trying to protect the MD at your (and not to mention, the patient's) expense, you may have a whistle-blower's defense. Lastly, you don't mention getting a supervisor involved with the problem early on. Gathering a group of witnesses upon discovery of a problem is always a good tactic. Others can document your efforts as they saw it.

Hey thank you very much. I would love to see your protocol. Please PM me. thanks again!

We are using on the floors. How is your protocol closely monitored? any chance i can get a copy of your protocol?

Does anyone out there have any experience with insulin drip protocols? Our organization is instituting one and it is looking problematic in that the issue of hypoglycemia and it's risks have not been fully appreciated by the authors of this protocol. I would appreciate some opinions you all may have.