Evidence Based Practice Paper

878 words - 4 pages

Evidence Based Practice Paper
Evidence-based practice uses current research and clinical judgment to provide interventions and care for patients (Kelly, 2012). It is important for nurses and all healthcare team members to be up to date on current practices so patients can receive evidence-based interventions that improve clinical outcomes. According to Kelly (2012), almost half of patients that receive care, receive interventions that are not based on evidence which can ultimately compromise the safety of patients and their health outcomes. Peripheral intravenous therapy (PIV) is a common practice in the acute care setting and evidence-based practices have been established to drive ...view middle of the document...

Prior to the research, the team found that half of the methicillin resistant Staphylococcus aureus (MRSA) bacteraemia cases at hospital were due to IV devices (Caguioa, Pilpil, Greensitt & Carnan, 2012).
The team first began by collecting baseline data on the practices the staff members used in regards to the insertion and maintenance of VAD’s. The team researched evidence based practices and then developed their own standardization for infection prevention of VAD’s using the mnemonic HANDS. “HANDS stands for: Hand hygiene, Antisepsis with 2% chlorhexidine gluconate in 70% isopropyl alcohol, Non-touch technique, Date on a clear dressing, Daily inspections, Documentation, and Scrub the hub for 15 seconds and allow to dry” (Caguioa, Pilpil, Greensitt & Carnan, p. S6, 2012).
When using HANDS, nurses should first begin by using proper hand hygiene which is scrubbing your hands with soap and water for at least 30 seconds or the use of an alcohol gel, which limits the transmission of germs from the nurse to the patient. Chlorhexidine antiseptic solution with a single use applicator is used to scrub the patient’s skin for 30 seconds and then is allowed to dry for 30 seconds allowing for adequate bacterial death. After antiseptics have been used at the insertion site, the site should not be touched. The IV device should be assessed daily and the need for continued therapy should be addressed. The device should be covered with a clear and occlusive dressing to prevent infection at the site and proper documentation of insertion, care, and discontinuation must be done when action is taken. Lastly, when using a needless connector the hub must be scrubbed for 15 seconds before using (Caguioa, Pilpil,...

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