This week, you will finalize your PowerPoint summarizing your entire QI project. You must include typed speaker notes in your PowerPoint or use a separate slide for your notes. Develo

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Nursing NUR 445Week 9 Assignment

Manuel Giovanni Garnique

Denver College of Nursing

Professor: Dr. Sharon Bator

NUR 445 – Capstone

11/30/2023

Infections associated with peripheral intravenous (IV) catheter devices in home care settings have been reported, necessitating a proactive management strategy. Building on the previous project's foundation, "Preventing Infections Related to Peripheral Intravenous Catheter Devices in Home Care Settings," this paper outlines the implementation plan for preventing CLABIS (Catheter-Related Bloodstream Infections). It proposes methods to measure the intervention's results.

The Implementation Plan

The implementation strategy is built on three key components: standardized nursing staff training, thorough patient education, and technological integration. Nursing personnel will receive in-depth training sessions on catheter insertion, maintenance, and infection prevention protocols. This training will be based on evidence-based guidelines, with insights drawn from the most recent recommendations in "Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2022 Update" (Buetti et al., 2022). By including these features, the strategy intends to improve nursing staff competencies, empower patients with critical knowledge, and incorporate technology to reinforce best practices, all of which contribute to the prevention of CLABIS in home care settings.

Simultaneously, a comprehensive patient education campaign will address the discovered knowledge gap in the issue description. Patients and caregivers will be given detailed instructions on catheter care, recognizing infection symptoms, and the crucial significance of seeking immediate medical attention. These training resources will be thoughtfully designed for accessibility, considering the unique constraints in home care settings. The goal is to provide patients and caregivers with the knowledge and skills to manage catheter care efficiently, encouraging a proactive approach to infection prevention and early intervention where necessary. The instructional content will be carefully adapted to the individual conditions and potential restrictions the home care environment poses, guaranteeing relevance and efficacy in achieving favorable health outcomes.

Using technology in CLABIS prevention is inspired by Brennan et al.'s (2019) findings in "Enhancing Home Health Care and Patient Safety: The Informatics Base." This integration requires developing and deploying a real-time guiding system based on informatics. This system is an immediate resource for nursing staff and patients, providing direct support and reminders on catheter care practices. In addition, a monitoring and reporting system will be implemented to observe infection trends systematically. This proactive approach allows for prompt interventions and ensures a dynamic reaction to new difficulties. Integrating technology and informatics improves catheter care efficiency and provides a solid framework for continual improvement and adaptation in home care settings.

Measurements of the Results

Quantitative and qualitative indicators will be used to assess the effectiveness of the CLABIS prevention initiatives. The incidence rate of CLABIS in home care settings will be quantified and recorded before and after the intervention is implemented. A decrease in infection rates will indicate the efficacy of the preventive measures. Qualitative input from nursing staff and patients will be gathered through surveys and interviews to measure the perceived success of the training and education programs. This qualitative data will shed light on the intervention's impact on information acquisition, behavior modification, and overall satisfaction.

Conclusions

Based on evidence-based practices and prior research, the recommended implementation plan provides a comprehensive strategy for preventing CLABIS in home care settings. The project intends to drastically reduce infection rates linked with peripheral IV catheters by addressing training gaps, improving patient education, and integrating technology. The proposed measuring methods will enable a thorough evaluation of the intervention's effectiveness, ensuring continuous improvement and refinement of CLABIS preventive efforts in the ever-changing home care context.

Reference

Brennan, P. F., Downey, J., Brown, C., & Cheng, S. (2019). Enhancing Home Health Care and Patient Safety: The Informatics Base. Journal of Healthcare Information Management, 33(1), 4-10.

Buetti, N., Marschall, J., Drees, M., Fakih, M. G., Hadaway, L., Maragakis, L. L., … & Mermel, L. A. (2022). Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.  Infection Control & Hospital Epidemiology,  43(5), 553-569.

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Manuel Giovanni Garnique

Denver College of Nursing

Professor: Dr. Sharon Bator

NUR 445 – Capstone

10/20/2023

Preventing Infections Related to Peripheral Intravenous Catheter Devices in Home Care Settings

Introduction:

Working as a nurse in a home care setting, I have observed a concerning increase in infections associated with peripheral intravenous (IV) catheter devices, including PICC lines, central lines, and implanted ports. These infections can have severe consequences, ranging from prolonged hospitalizations to life-threatening complications. In light of this issue, this paper aims to address the need to prevent infections related to peripheral IV catheter devices in home care, particularly focusing on the lack of information from nursing staff and misuse by patients.

Problem Description:

Infections linked to peripheral IV catheters pose a significant concern in home care settings where these devices are frequently employed for long-term intravenous therapies. Such therapies encompass chemotherapy, antibiotics, and parenteral nutrition. The problem is exacerbated by a lack of consistent education and awareness among both nursing staff and patients, stemming from the following critical issues. First, nursing staff in home care settings often lack sufficient training in the insertion, maintenance, and infection prevention associated with peripheral IV catheters, potentially leading to improper techniques and increased infection risk. Second, patients and their caregivers frequently lack essential knowledge regarding catheter care, including identifying infection signs, maintaining hygiene, and recognizing when to seek medical help. This knowledge gap can result in catheter misuse and delayed intervention when complications arise. Lastly, the home care environment introduces unique challenges compared to healthcare facilities, such as limited access to medical supplies, inadequate hygiene, and environmental factors that may elevate the risk of contamination and infection in patients with peripheral IV catheters.

The evidence-based support comprises three key articles. Firstly, "Strategies to Prevent Central Line-Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update" (Buetti et al., 2014) underscores the importance of infection prevention, offering guidelines and recommendations for healthcare professionals regarding central lines, a type of peripheral IV catheter. Secondly, "The Impact of Home Infusion Therapy on Healthcare Costs: An Exploratory Analysis of Six Infusion Therapies" (Hutchinson et al., 2019) explores the financial implications of home infusion therapy, which frequently involves peripheral IV catheters, indicating that reducing catheter-related infections can lead to substantial healthcare cost savings. Lastly, "Enhancing Home Health Care and Patient Safety: The Informatics Base" (Brennan et al., 2019) underscores the role of informatics and technology in improving patient safety in home care settings, emphasizing education for healthcare professionals and patients, as well as using technology for real-time guidance on catheter care and infection prevention.

In addressing peripheral IV catheter infections in home care, we propose a comprehensive approach. This involves standardized training for nursing staff and clear patient education. Additionally, technology integration can offer real-time guidance, while a monitoring and reporting system helps track trends. Collaboration among stakeholders is crucial for effective infection prevention.

In conclusion, Infections from peripheral IV catheters in home care settings are a significant concern that requires a proactive approach to prevention. This approach should include evidence-based guidelines, enhanced training, patient education, technology integration, and collaboration among stakeholders to reduce infection rates. By addressing this issue, we can enhance patient safety, improve outcomes, and lessen the financial burden on the healthcare system, ensuring that home care patients can access vital therapies without undue complications.

Reference

Brennan, P. F., Downey, J., Brown, C., & Cheng, S. (2019). Enhancing Home Health Care and Patient Safety: The Informatics Base. Journal of Healthcare Information Management, 33(1), 4-10.

Buetti, N., Marschall, J., Drees, M., Fakih, M. G., Hadaway, L., Maragakis, L. L., … & Mermel, L. A. (2022). Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.  Infection Control & Hospital Epidemiology,  43(5), 553-569.

Hutchinson, S., MacVane, C., Wang, J., Waters, H., Roth, D., & Henry, M. (2019). The Impact of Home Infusion Therapy on Healthcare Costs: An Exploratory Analysis of Six Infusion Therapies. Journal of Managed Care & Specialty Pharmacy, 25(6), 675-683.

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