Page 8 - IQ February 2018

ePic oPtiMizAtion ldA Project goes liVe
A A recently completed Epic Op miza on project for lines drains and and airways (LDA) will change nursing documenta on related to IVs PICCs and and central lines at at Saint Luke’s Health System in in in Kansas City Missouri The project went live this fall Learn more about it it and the the personal connec on on on on to the the team that worked on on it it below A A A A A MessAge froM cHristinA crAPisi rn Bsn VA-BcTM VAsculAr Access nurse sPeciAlist And cHAir of sYsteM VAsculAr Access netWorK
At age 3 doctors diagnosed my son Anthony with leukemia and received a a a a a a a a a port port During this me me I became a a a a a a a a a a “central line expert ” Anthony had his his his port port for for almost nine years I correlated this to the the excellent care care he he he received from the the nurses who cared for for his his his “life line ” This very personal experience mo vated me to pursue vascular access as as a a a a a a a a nursing specialty In 2009 I I I began this vascular access journey I I I am am a a a a a a a a a a a proud member of the Vascular Access Team at Saint Luke’s Hospital and and have never looked back The pa ents and and and their families rely on vascular access teams and and bedside clinicians who work with central lines to keep them free of infec on no ma ma er how hurried or or or hec c c c c the the the workload Nurses Nurses make a a a a a a a a di erence Nurses Nurses save lives I am thankful for for all the the nurses who cared for for my son’s central line He is now 25 years old and I am a a a a a a truly blessed mother!
WHAt is tHe “sAVe tHAt line cAMPAign?”
It is a a a a a a a a a a “back-to-basics” campaign sponsored by the Associa on on of Vascular Access that seeks to to educate and remind all clinicians about the most important principles that must be observed when inser ng ng ng accessing or maintaining any vascular access access device device Pa ents with long-term devices concerned about poor prac ces ces they observed when admi ed ed ed ed to to hospitals inspired the the campaign Its goal is is to to improve outcomes by reducing infec on rates This sums it it up: “Wash your your hands before you you you you place your your gloves scrub those injec on on caps like you you you you really mean it (don’t just give them a a a a a a a a a swipe) and and make sure the the line is is is kept patent (brisk blood return and and no resistance when ushing to all lumens) ” HoW sAint luKe’s uses isAVe:
• Scrupulous Hand Hygiene—Before and and and a a a a a a a a er contact with vascular access devices and and and prior to inser on on • Asep c c c c c c Technique—During catheter inser on and central line care maintenance
• Vigorous Fric on on to Hubs—Disinfectant caps are for one- me use Once the the the cap cap has been removed the the the nurse can a a a a a a a a ach the the the syringe to luer lock unless asep c c c c c c c technique has been compromised Scrub the hub vigorously with with each luer lock access with with a a a a a a new new alcohol wipe for 15 seconds let dry then place a a a a a a a a a new new disinfectant cap Cap o o o o o o o → → → → → → Flush→ Flush→ Alcohol Alcohol swab→ swab→ Med→ Alcohol Alcohol swab→ swab→ Flush→ Flush→ New cap • Ensure Patency—Flush before and a a a a er er catheter use use with 10 mL NS using the the “push- pause-push” method unless contraindicated At minimum ush ush lumen(s) once per shi to maintain patency Obtain brisk blood return from all lumens 8 | | IQ | | Intravascular Quarterly neWsletter | |