Insertion of central vascular catheter: adherence to infection prevention bundle

• Published in: Revista Brasileira de Enfermagem Vol. 72; no. 3; pp. 774 - 779
• Main Authors: Llapa-Rodríguez, Eliana Ofelia, Oliveira, Júlian Katrin Albuquerque de, Melo, Fernanda Carneiro, Silva, Gilvan Gomes da, Mattos, Maria Cláudia Tavares de, Macieira, Jr, Vinicius Paraíso
• Format: Journal Article
• Language: English
• Published: Brazil Associação Brasileira de Enfermagem 27.06.2019
• Subjects: Catheters; Catéteres Venosos Centrales; Disease prevention; Equipo de Asistencia al Paciente; Garantía de la Calidad de los Cuidados de Salud; Hemodialysis; Infecciones Relacionadas con el Catéter; Infections; Intensive care; Patient safety; Quality of care; Seguridad del Paciente; Brazil
• ISSN: 0034-7167; 1984-0446; 1984-0446
• DOI: 10.1590/0034-7167-2018-0124

To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis. Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016. The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day. Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.