(4:30 PM) Roundtable Discussions
Contact Hours: 1
CRNI® RUs: 2
The Urban Legend of the 10 mL Syringe
Discussion Leader: Elizabeth Campbell
Despite standards of practice that address proper central vascular access device (CVAD) care and maintenance, there is still confusion concerning the use of 10 mL syringes and dilution of infusion medications. This confusion poses safety risks for patients. This session will discuss strategies to engage clinicians to change the unsafe practice of transferring medications from original sterile packaging into larger syringes and standards of practice related to patency confirmation and flushing of CVADs.
Learning Outcomes: At the conclusion of this session, the learner will state new strategies to dispel the myth of the 10 mL syringe and will identify opportunities in their clinical setting to improve medication safety.
Expediting Care and Increasing Patient Satisfaction by “Calling Ahead”
Discussion Leader: Jennifer Larsen
A barrier to efficiency described in many outpatient infusion therapy settings is timeliness of medication availability for administration. Verifying orders, preparing medications as indicated, and performing a final verification check are all critical steps for patient safety that require an amount time. Preparing medications ahead of time can create costly waste if medications are prepared incorrectly, if patients don’t meet criteria for medication administration upon arrival, or if patients don’t report for their infusion as scheduled. Infusion care can be expedited by offering select patients the opportunity to have a phone assessment and call ahead for their medications when in route to their appointment. Learn how this method can decrease chair time and increase patient satisfaction.
Learning Outcomes: At the conclusion of this session, learners will discuss the advantages and disadvantages of having a medication call ahead list and will describe the process for developing a medication call ahead list and how it can best be maintained.
Targeting Zero CLABSIs: The Basics and Beyond
Discussion Leader: Sophie Harnage
Central line-associated bloodstream infections (CLABSIs) are a major cause of patient morbidity, mortality, and health care-related costs. Research indicates most CLABSIs are preventable when evidenced-based practice is implemented consistently. Challenges exist in implementing evidence-based strategies, reaching high compliance, and achieving desired outcomes—ZERO CLABSIs. This session will discuss evidenced-based practices to reduce/eliminate CLABSIs, including special approaches that consider atypical locations and varying patient populations.
Learning Outcomes: At the conclusion of this session learners will- ascertain basic evidenced-based practices to reduce/eliminate CLABSIs, discuss special approaches to eliminate CLABSI, and describe 3 CLABSI reduction special approaches identified by Society for Healthcare Epidemiology (SHEA) & Centers for Disease Control and Prevention (CDC).
Incorporating High-Level Disinfection Practices into Your Workflow
Discussion Leader: Molly Judge
Clinicians are responsible for patient safety by cleansing and disinfecting durable medical equipment. High-level disinfection is necessary when equipment comes into contact with blood, broken skin, mucosal membranes, or bodily fluids. Learn how to elicit support from colleagues, including infection control preventionists, when developing a program of high-level disinfection and instituting the process into daily workflows.
Learning Outcome: At the conclusion of this session, learners will ascertain how to identify the appropriate level of disinfection for various equipment, options for high-level disinfection, and strategies to incorporate high-level disinfection into their workflow.
Short Peripheral Catheter Antisepsis: A Quality Improvement Project
Discussion Leader: Sue Weaver
This roundtable session will discuss a quality improvement (QI) project to improve compliance with antisepsis during short peripheral catheter (SPC) insertion. After completion of infusion therapy education during orientation, nurse residents identified a gap in the standard of care. Some nurses were not consistently cleansing insertion sites with chlorhexidine. Results of “plan-do-check-act” steps and a fishbone diagram will be shared and discussed.
Learning Outcome: At the conclusion of this session, learners will be able to discuss the details of a quality improvement project to improve antisepsis during short peripheral catheter (SPC) insertion.
Video Instruction on Home Infusion Techniques
Discussion Leader: Sue Nittler
Traditionally, written instruction and demonstration methods have been used to educate patients and nurses on home infusion procedures. Technology can be used to provide versality when educating patients and nurses. This roundtable discussion will focus on the creation and distribution of instructional videos for patients/caregivers and nurses.
Learning Outcome: At the conclusion of this session, learners will be able to verbalize 2 first steps in making instructional infusion videos.
Best Practices for Ultrasound-Guided SPC Insertion
Discussion Leader: Alice Cennamo
The use of ultrasound-guidance to insert short peripheral catheters (SPCs) has been shown to be an effective method to improve insertion success rates in patients with difficult vascular access. In clinical practice, a variety of methods are used for ultrasound-guided SPC insertion procedures. Infection control practice varies widely in site and probe preparation, ranging from clean or “no-touch” techniques to using non-sterile gel or sterile insertion methods, and routine access of deep veins. This presentation will review current evidence-based best practice parameters for ultrasound-guided SPC insertion, as well as infection prevention and vascular access site selection.
Learning Outcome: At the conclusion of this session, learners will describe INS Standards and American Institute of Ultrasound in Medicine (AIUM) best practices in infection control to use for ultrasound-guided SPC insertion procedures.