Aseptic Technique and Perioperative I.V. Medication Administration
Healthcare-associated bloodstream infections are deadly and preventable. However, many organizations have found the biggest barrier in prevention is the clinician's knowledge deficit in aseptic techniques. Duke University Hospital targets this through a multifaceted education program for aseptic technique, demonstrating that knowledge increases adherence.
Over 500,000 healthcare-associated bloodstream infections are attributed to I.V. catheters each year in the United States. These infections have extensive consequences that are costly and can be fatal. While healthcare organizations advocate for the use of aseptic techniques before I.V. medication administration, many clinicians (including nurses) have demonstrated there is a knowledge deficit to aseptic techniques. To combat this, you will read about Duke University Hospital performing a quality improvement project aimed at evaluating the efficacy of a multifaceted educational program for aseptic technique, and the resulting improvements to adherence.
Key Learning Outcomes
- Discuss development of standardized education programs covering administration of IV aseptic techniques and the impact on outcomes.
- Describe how audit and feedback techniques can impact behavioral change and adherence with compliance targets.
- Discuss the importance of ongoing education efforts to improve adherence to safe injection practices to decrease healthcare associated bloodstream infections.
By: Lauren Gilmore, DNP, CRNA; Virginia C. Simmons, DNP, CRNA, CHSE-A, FAANA, FAAN; Jessica Seidelman, MD, MPH; and Staci S. Reynolds, PhD, RN, ACNS-BC, CCRN, CNRN, SCRN, CPHQ, FAAN
Lauren Gilmore is a CRNA at Inova Hospital in Falls Church, Virginia. Virginia C. Simmons, is a clinical professor at Duke University School of Nursing in Durham, North Carolina. Jessica Seidelman is an associate professor of medicine at Duke University School of Medicine, an infectious disease physician in the Duke Center for Antimicrobial Stewardship and Infection Prevention at Duke University Medical Center, and a physician in infection prevention and hospital epidemiology at Duke University Hospital. Staci S. Reynolds is associate clinical professor at Duke University School of Nursing.