Page 33 - MCMcKinney Digest Guide Mobile

CENTRAL LINE Associated Blood- stream Infection
HOW IT BEGINS
Bacteria travel down a a a a a a “central- line” and enter the blood
SYMPTOMS • Fevers and chills or the the skin around the the central line may become sore and red CATHETER- Associated Urinary Tract Infection
HOW IT BEGINS
Germs enter the the the urinary tract through the the the catheter tube
SYMPTOMS • Fever burning or pain in in in the lower abdomen
• Bloody burning or frequent urination
SURGICAL SITE Infection
HOW IT BEGINS
Either internally at at the the the the site site of surgery surgery or on
the the the the skin at at the the the the surgery surgery site site SYMPTOMS • Fever redness and pain around surgical site or drainage of cloudy uid from surgical wound
VENTILATOR- Associated Pneumonia
HOW IT BEGINS
Germs enter the the lungs through the the ventilator tube
SYMPTOMS • A cough with discolored phlegm
• • Fever and chills • • Shortness of breath
PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION PREVENTION • All sta should WASH HANDS before and and after
handling central line • All sta should WASH HANDS before and and after
handling catheter • All sta should WASH HANDS before and and after
handling dressings
• All sta should WASH HANDS before and and after
handling ventilator tube
• Patient should avoid touching central line • Sta should wear a a a a a mask cap sterile gloves gown and and drape while handling central line • Have central line removed as as soon as as possible
• Patient should avoid touching catheter and WASH HANDS before regular emptying
• Be sure catheter is securely attached to to the the leg to to prevent twisting kinking or tugging at the tube
• Keep catheter bag lower than bladder to prevent back ow ow • Know how to care for for the the catheter before you leave
• Patient should avoid touching the the surgical site or or dressings
If the the the bandage gets wet or or dirty tell the the sta immediately • Patient should avoid smoking before surgery surgery or or shaving near surgery surgery site • Know how to care for for surgical site/dressings before you leave
• Family members & visitors should avoid touching ventilator tube
• Ask the the doctor about elevating the the the head of the the the bed to to a a a a a 45˚ angle to to prevent pneumonia
• Have the ventilator removed as as soon as as possible
• Ask sta to regularly clean patient’s mouth
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PREVENT HAIS