Custis-Adams, Kiesha M, BSN, RN

Karlsson, Lydia, BSN, RN

Long, Melissa F, BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingImproving Knowledge of PICC Line MaintenanceKiesha M. Custis-Adams BSN, RNLehigh Valley Health Network, kiesh_m.custis-adams@lvhn.orgLydia Karlsson BSN, RNMelissa F. Long BSN, RNLehigh Valley Health Network, melissa_f.long@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtCustis-Adams, K. Karlsson, L. Long. M. (2016, Nov). Improving Knowledge of PICC Line Maintenance. Poster presented at: LVHNVizient/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA.© 2016 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaImproving Knowledge of PICC Line Maintenance Population:  Registered NursesIntervention:  Education of PICC dressing care and maintenanceControl:  compared to no educationOutcome:  Increase Nurse’s knowledge of PICC care and maintenance• A knowledge assessment presurvey was administered to staff on both 4KS and Transitional Skilled Unit in order to assess basic knowledge of PICC line maintenance and to measure the overall confidence level of maintaining the PICC according to LVHN policy. 13 surveys were completed.• An educational handout was developed and distributed to registered nurses on each unit• A knowledge assessment postsurvey was administered to staff on both 4KS and Transitional Skilled Unit in order to assess  knowledge after the education. 7 surveys were completed.  The distribution of the pre and post-survey took place over a 3 month time period.• “Infections associated with intravascular catheters account for 10% to 20% of all nosocomial infections”  (Labeu et al, 2008)• “A focused, educational intervention among nurses and physicians…resulted in sustained reduction in the incidence of catheter-associated bloodstream infection” (Warren et al, 2003)• “To optimize knowledge of CLABSIs educational curricula and continuing refresher education programs should include CLABSI-prevention guidelines” (Humphrey, J, 2015)Kiesha Custis-Adams BSN, RN, Lydia Karlsson BSN, RN, Melissa Long BSN, RNBACKGROUND EVIDENCEMETHODSOUTCOMESCONCLUSIONSPICO QUESTIONREFERENCES• In conclusion, the staff had an improvement in knowledge.  • One influence in our project was that the PICC team began taking care of 4KS for all their PICC maintenance and dressing changes.  • In addition, all staff were educated at our annual education day related to central line care.• With this boost of knowledge and confidence RN's have the ability to provide competent care to their patients with PICC lines with an overall goal of keeping infection rates down.The unit 4KS has had 2 CLABSI infections in the past two years.  The 4KS unit had an audit which showed that there was inconsistent practice in the care of central lines.  These inconsistent practice may be a reason that the PICC team began with a pilot on 4KS that included PICC maintenance by the PICC  nurses.• Based on the pre and post education surveys there was a measurable improvement in knowledge on PICC line maintenance.• RN’s also rated themselves higher on the confidence scale on the post survey after a refresher of the policy was provided. • Pre-survey showed that there was a lack of knowledge regarding the policy on PICC Line maintenance.• After education was provided, the post survey results showed that there was an improvement in PICC line maintenance knowledge and overall confidence in PICC line maintenance increased.Humphrey, J. S. (2015). Improving Registered Nurses' Knowledge of Evidence-Based Practice Guidelines to Decrease the Incidence of Central Line-Associated Bloodstream Infections: An Educational Intervention. Journal Of The Association For Vascular Access, 20(3), 143-149 7p. doi:10.1016/j.java.2015.05.003Labeau, S., Vereecke, A., Vandijck, D., Claes, B., & Blot, S. (2008). Critical care nurses' knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. American Journal Of Critical Care, 17(1), 65-72 8p.Warren, D. K. M., Zack, J. E. R., Cox, Michael J. MD, FCCP, FACP, Cohen, Max M. MD, FACS, FRCSC, FRCSEd, FACPE, & Fraser, V. J. M. (2003). An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center*. Critical Care Medicine, doi:10.1097/01.CCM.0000069513.15417.1C0123456789Pre Education Post EducationConfidence in PICC Line Maintenance of Particpants Pre and Post Education 1-Not Confident234 5-Most Confident012345678Pre Education Survey Post Education SurveyAverage Scores of Participants on Pre and Post Survey8 piece survey consisiting of questions about PICC Line Maintenance4KS

Improving Knowledge of PICC Line Maintenance

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1726&context=patient-care-services-nursing

Improving Knowledge of PICC Line Maintenance

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