Hospital Acquired Infections Essay

1238 Words Nov 13th, 2013 5 Pages

Hospital Acquired Infections
Grand Canyon University
Family-Centered Health Promotion
Laura Campbell
August 25, 2012

Emergency department (ED) nurses save lives every day by utilizing their skills and knowledge to assist the physician in providing emergent care to patients who arrive via ambulance or by private auto. Nurses are aware of their responsibilities to respond to the patient's needs quickly and efficiently to provide life-saving interventions and care. However, are ED nurses aware that they contribute directly and indirectly to a large percentage of patient's demise through the insertion of foley catheters, peripheral
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ED nurses should think twice before performing tasks that could have detrimental results to the patient as well as extended hospital stay and intensive care utilization due to sepsis from an indwelling foley catheter, an intravenous (IV) site, or central line infection. According to Mary Pelton, RN, CEN, the nurse must insist on sterile technique. At Tufts Medical Center in Boston, ED nurses utilize a checklist for the prevention of Central Line-Associated Bacteremia (CLAB) during a central line insertion (Pelton RN, CEN & Mitchell RN, CEN).
There are many changes that can be made in the ED nurse's practice that can make a huge difference in the outcome of their patient's hospital stay. For example, collect a urine specimen on an incontinent patient by the use of a straight catheter. Do not insert an indwelling foley for the sake of convenience. Have the most skilled nurse attempt a peripheral intravenous line before calling for a central line on your patient. Have a centrally located cart with all of the equipment used and all sterile barrier type of supplies for the insertion of central lines, this is a Joint Commission guideline (Pelton RN, CEN & Mitchell RN, CEN, 2010).
Eric Larsen, MSN, ARNP, FNP, has a different idea regarding the prevalence of hospital acquired infections possibly originating in the emergency department (ED), he argues that there are over 100 million people that come through the ED in the United States yearly as patients,

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