Central venous catheter

1 Austin Peay State University NURS 3300 Module 4 Assignments Discussion Board Complete the main post for the discussion board. Follow the links to the discussion board for details. Paper submitted to the dropbox You will be learning how to apply evidenced-based research to practice in this assignment. While all of you may not be in acute care using central venous catheters, the process of applying clinical guidelines is the same. This is your big evidenced based paper worth a significant part of your grade. In the United States, 15 million central venous catheter (CVC) days occur in intensive care units each year (Mermel, 2000). Studies have variously addressed catheter-related bloodstream infections (CRBSI) and have found them to increase hospital costs and length of stay. What is the current data on that now? Google these data and recommendations for practice. Choose organization (.org) websites you will need to include in your work. Check out the academic library for sources within the last 5 years. To improve patient outcome and to reduce healthcare costs, there is considerable interest by healthcare providers, insurers, regulators and patient advocates in reducing the incidence of these infections. This effort should be multidisciplinary, involving healthcare professionals who order the insertion and removal of CVCs, those who insert and maintain the catheters, infection control personnel, healthcare managers including CEOs and those who allocate resources, and patients who are capable of assisting in the care of their catheters. The goal of an effective prevention program should be the elimination of or the reduction to as low a rate as possible given the specific patient population, CRBSIs from all patient care areas. 2 With this information in mind, conduct a thorough review of the literature and answer the following questions: 1. What are the current clinical guidelines for caring for CVCs? 2. What care approach is used in your (or a colleague’s) clinical setting? How does it relate to what you have learned from your review of the literature? 3. What approach to nurse and interdisciplinary team education needs to happen if a facility is not applying the most current guidelines? The paper will be written in APA style and consist of the following: • Cover page • Body of paper 5 to 7 pages in length double spaced Central venous catheter

• Reference page(s): a minimum of 5 references, two or more peer-reviewed articles, and your text is appropriate. Weave in .org website information as well. Remember that these guidelines for references are the minimum. The final paper is due when Module 4 closes and should be submitted to the correct dropbox under TASKS. Submit to dropbox 1 Austin Peay State University NURS 3300 Module 4 Overview Objectives: 1. Integrate scope of practice and practice guidelines for nurses. (CSO 3). 2. Examine at-risk populations who experience disparities in health care. (CSO 5). Introduction to Module 4: This module you will be considering those who do not get the same services as others or are at higher risk for problems because of their socio-economic status, race, or age (as examples). These health disparities affect entire populations of people. How can we, as nurses, change ideas and policy on their behalf? You will also be looking for practice guidelines and evidenced-based research applied to real life practice issues. Austin Peay State University NURS 3300 Module 4 Lecture Module 4 Disparities and Guidelines Topics: Central venous catheter

Health care disparities At-risk populations Following guidelines Applying research Notes Health Disparities Health disparities refer to significantly different health outcomes within and between population segments. Social factors such as race, ethnicity, and socioeconomic status are strongly associated with quality of health and health risks. Some specific factors include education, nutrition, housing, transportation, clean water and air, and health insurance (HealthyPeople.gov, 2018). Research by the Centers for Disease Control (2013) finds persistent levels of disparity between some population groups. For example, differences were found between racial and ethnic groups for all categories measured. Socioeconomic status was found to be a risk factor for diseases such as diabetes and hypertension, as well as predictor for a lack of preventive medicine (e.g. colonoscopies, mammograms, and vaccinations). The National Institutes for Health (2013) expect minority populations to comprise about half of the US population in the next thirty years, which will place more strain on resources in underserved communities, further restricting access. The Robert Wood Johnson Foundation offers suggestions to health care workers for supporting a goal of decreasing health outcome disparities:

• Adopt a new set of vital signs that include non-medical factors (e.g. living conditions, access to food) • Commit to providing extra service to underserved populations • Prevent bias in diagnosis and treatment • Prevent bias in research (age, gender, ethnicity representation) Central venous catheter

• Utilize a trauma-informed approach (understand and recognize the effects of psychological trauma) Readings: Read Finkelman Chapter 7, 11, and 12. Review these websites. Office of Minority Health. (2018). What we do. Retrieved January 13, 2018, from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=1&lvlid=2 Centers for Disease Control and Prevention. (2013). CDC Health Disparities & Inequalities Report. Morbidity and Mortality Weekly Report, 62(3). https://www.cdc.gov/mmwr/pdf/other/su6203.pdf HealthyPeople.gov. (2018). Disparities. https://www.healthypeople.gov/2020/about/foundation-healthmeasures/Disparities National Institutes for Health. (2013). Health Disparities. Yesterday, Today, and Tomorrow: NIH Research Timelines. https://report.nih.gov/NIHfactsheets/ViewFactSheet.aspx?csid=124 Robert Wood Johnson Foundation. (2018). Achieving Health Equity. Retrieved January 13, 2018, from https://www.rwjf.org/en/library/features/achieving-health-equity.html Videos: Follow the links in the course for videos. … Central venous catheter