Journal article
An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project
Intensive & Critical Care Nursing, Vol.70, pp.1-6
2022
PMID: 35184971
Abstract
Central venous catheters are often used in managing critically ill patients. Clinical practice guidelines and care bundles exist to prevent central line associated blood stream infections; however, detailed adherence to these guidelines and care bundles is unclear. This study was aimed to describe clinicians’ adherence to recommended practices in central venous catheter insertion and management. A cross-sectional prospective observational study was conducted in the intensive care unit of an Australian tertiary hospital over a four-month period. We observed a total of 50 nurses during post insertion management, and 10 physicians during central venous catheter insertion using purposely designed observation tools. Our audit identified 90% adherence to recommended practices in central venous catheter insertion and 60% to post insertion management. However, there were areas where participants’ practices were not congruent with evidence-based recommendations, including choice of central venous catheter insertion site, type of central venous catheters, dressing choice, aseptic technique, and documentation. Our audit showed a detailed picture of clinician’s adherence to recommended practices in central venous catheter insertion and management. A clearer understanding of the barriers and facilitators of issues identified is needed to inform the design of future interventions to reduce central line related blood stream infections in the unit.
Details
- Title
- An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project
- Authors
- Frances Fengzhi Lin (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyNiki Murphy (Author) - Gold Coast HospitalAngelly Martinez (Author) - Gold Coast HospitalAndrea Marshall (Author) - Griffith University
- Publication details
- Intensive & Critical Care Nursing, Vol.70, pp.1-6
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.iccn.2022.103217
- ISSN
- 1532-4036
- PMID
- 35184971
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99614908702621
- Output Type
- Journal article
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- Domestic collaboration
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- Nursing
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