ngodin

Most of the hospitals that are doing this have one nurse (or team, depending on size of hospital) that does them all, taking that task away from the primary nurse. In my hospital, I am the only nurse that does them (with the rare exception of one due on the weekend)....and I am also the WOC and Diabetes Educator here as well. I just want to know if anyone that has changed to this model has seen an increase in CLABSIs when they did.

Most of the hospitals that are doing this have one nurse (or team, depending on size of hospital) that does them all, taking that task away from the primary nurse. In my hospital, I am the only nurse that does them (with the rare exception of one due on the weekend)....and I am also the WOC and Diabetes Educator here as well. I just want to know if anyone that has changed to this model has seen an increase in CLABSIs when they did.

They wouldn't have already been done because I am the only one in the hospital that does them (with the exception of the rare one due on the weekend). We are a small hospital and have only 8-10 PICCS on average, so it wouldn't take long for me to do those. I just wonder if anybody is at a hospital that has changed to this method and seen a change in CLABSIs.

I have been hearing from some folks that their hospitals have picked one day of the week to do all central line changes. Currently, we are doing them everyday based on when the patient got the central line. What are your hospitals doing?

Thanks!

He is a bedbound pt that was wearing attends at home and came in with these wounds. He does now have a foley catheter and we are no longer closing the attends on him so that he can get more air "down there." My concern is the yellow slough that has developed and no way to apply a Santyl dressing. Considering the majority of this wound is folded up in his foreskin, I don't see the likelihood of him drying up and developing a scab. I didn't know if there was anything else I could do besides the zinc oxide cream and leaving him open to air...

I have a pt that has come in with scrotal and penile sores r/t excess moisture. The one on the head of the member presents with some yellow slough, and to see all of it I have to roll the foreskin back. I have put a zinc oxide cream on it since I obviously can't dress it. Any other ideas?