l`i`lSoc ami i!Il He.:J1. rilc are- assonated

KEYWORDS
l'i'lS oc ami i!I l
mfecrìons:
He.:J1. rilc areassonated
mfectìors:
Infection control:
Preven:ion
..,.......
Ir~ l''''''I~
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.
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Spreading knowledge.
Preventing infection.
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Contents lists availanle al ScienceDìrect
inical
rition
r. co m/I ocate/c In u
JOU
l Nutrition: Centrai Ve.1
rapy of complications)
ìlton
b.
Ro
rto Biffi
e. UOltO, irafy
c.
J ohn
erte
d,
~~.theter ~
Marek tller~
oF ì\1ursing
=unded by an euucational
grant trom BD Medicai-MedicaI Surgical Sys:ems
Joumal of Hospitaì tnfectìon 8651 {2(14) 51-570
Available online at www.sciencedirecl.com
Joumal of Hospitallnfection
jou rnal
homepage:
www.elsevierhealth.com/jou
rnals/jhin
epic3: National Evidence-Based Guidelines fo
Preventing Healthcare-Associated Infections in
HS Hospitals in England
.P. Loved,aya*, J.A. Wilsona, R.J. Pratts, M. G,ollsorkhia, A. Tingl,e,a, A., Baka,
--.' Brownea, J. Prletob, M. Wilcoxc
Rfchard Wells Research Centre, College 01 Nursfni, Midwifiery and Heatthcare, University 01 West tondon (London,.
b Faculty o/, Health Sdencles, University
,o{ Southampton (Southampton).
c Microbio'logy and ,'n{ectron Co.ntro', t.eled's Teaching Hospitals and University o{ t.eed,S(Leeds, ..
Cl
revenzione di CRBSI secondo
le linee guida
Strategie di comportamento
Uti I izzo di tecnolog ie
.ic practices for prevention and monitoring of
SI: recommended for all acute care hospitals
[ore insertion
~Iducate healthcare personnel involved in the insertion,
and maintenance of CVCs about CLABSI prevention
20,25-28
. Include the indications for catheter use, appropriate
rrtion and maintenance, the risk of CLABSI, anld general
.ction prevention strategies.
Ensure that all healthcare personnel involved in cath· insertion and maintenance complete an educational
gram regarding basic practices to prevent CLABSI De! performing
these duties.
" Periodically assess healthcare personnel knowledge of
l adherence to preventive measure .....
" Ensure that any healthcare professional who inserts
:VC undergoes a credentialing process (as established
I.
5tand
The p atient, caregìver or legal representative must
receive instruction and educatìon related to the
vascular access device, prescribed ìnfusion therapy,
infection control and plan of care (NICE, 2003).
The patìent, caregiver or legal representatìve must [le
informed of potential complications assocìated with
trea tment or therapy (D ougherty, 2006).
The nurse should document the information give
ano the patients, caregivers, or legally authorised
reoresentatives response in the patients medical an
_ notes (Weinstein) 2007).
Education and training of patìents or caregìver
should be in accordance with The Code C'
ano Standards for medicines management (NMC
2008a).
The practitioner responsible for educating and
training patients and caregivers to administer
intravenous therapy should ensure tha t reasonable
oreseeable harm does not befall a person a
tandard
5.1 The scope of practice for each type of personn
involved with the delivery of infusion therapy shall be
organized ro support patient safety and protection and
shall clearly defìne the roles, responsibiliries, rasks
ange of services, and accountabiliry for all levels of personnel involved wirh the delivery of ìnfusion therapy.
5.2 AH Iicensed nursing personnel wirh responsibility
for infusion therapy shall possess a license in good
standìng with rhe state's Board of Nursing.
5.3 AlI personnel involved wi th the deli very of infusion
therapy shall practice within the legaI boundaries of the
individual license or scope of pracrice
5.4 AlI personnel involved wi th the deli very of infusion
therapy shall possess the ability to cornmunicate effectively with patienrs, supervisors, peers. and other mernrs of the heal rh care team.
5.5 The role of nursing assistive personnel (NAP
invol ved with infusion thera p'y shall be Iirnired to noninvasive and administrarive tasks,
5.16 Delega tion of infusion therapy rasks shall De in
accordance with rules and regulations promulgated by
rhe state's Board of Nursing. The registered nurse (RN)
shall be responsible and accountable for a11 rasks
elegated to NAP and licensed practical/vocational
iurses (LPNIL VN)
5./ The RN shall be accountable for patient safety in
Linee Guida pier la Prevenzione delle infezion i da Catetere
zrorn
c
r
C E N T E R S
CONTROL
F
o
AND
R
D I S E A S EN
PREVENTION
azione. Iraining e Personale
1. Educarle iI oe rso na ~e sa n itario su Ile ind icazio ni de i cateteri
lntravascolari,
su Ite procec
corrette per l'irn pia nto e la gestione dei catete ri intravascolari e sulle m isure di controho cor
atte a prevenire le infezioni correlate a catetere intravascolare
2. Riva~utare eeriodlcarnente
[7......
15]. Categoria I
le conoscenze e l'aderenza alle linee guida di tutto il perso
coinvolto nell'imoianto e gestione dei cateteri intravascolari [7-15]. 'Categoria ~A
e la gestilo ne dei cateteri
personale
addestrato
che
abbia
d
int
o competenza
In queste
manovre
Catego ri ti lA
velli di prepa razione nel oersonale
Intensive. Studi osservazionali
specmcarnente
addestrati
suggeriscono
alla gestione de
inferrnieristico delle Te re
che una percentuale troppo elevata di infermier
c e/o
levato ra pporto pazienti/inferm
le
IVAD1
Heallthcare workers caring for patients
with intravascullar catheters should
e trained and assessed as competent
n using and consistently adhering
to practices for the orevention of
catheter-rellated bLoodstream infection.
Class DIGPP
IVAD2
eallthcare workers shouLd De aware
of the manufacturer's advice reLatin_...
to individuall catheters, connectton
and administration set dwelL ttrne,
and compatibiLity with antiseptics and
other fluids to ensure the safe use of devtces,
ew recommendation Class DIGPP
IVAD3
Before discharge from hospitat
atients with intravascular catheters
and their carers should be taught any
techniques they may need to use to
•
,,.
•
•
•
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•
I
•
I n altre parole ...
Creare un IV Team o PICC Team per la verifica
delle ind icazion i, per l'impianto, la gestione dell
complicanze e il counselling per la gestione
ordinaria
Assicurare programmi formativi adeguati a chi si
occupa della gestione ordinaria
lIFECATH·PICC
E_XPL-HT(PUR)
_~~
8294.14
Ci
~
t.ftt.l.ll1-1'(t
UPU'!M~
; .~lII('dcO~\P
rischio di CRBSI [15, 242].
IV rea
eciallzzato na una sicura e
ssociate e dei costi [
la
pres:
idenza di CRBSI, delle com nlica nz
26]. Inoltre il rischio di infezione aumenta con la riduzione del perso
co sotto un l~iveUocritico [30].