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Gina Ward
Benchmarks for outcome monitoring

 

Where would I find the most up to date benchmarks or "accepted" range of outcomes experienced  for PICC lines?  I have found some listed in

my original Bard Access Systems study guide and have seen mention of them in the INS Standards of Practice.  I have the 2006 supplement for INS standards and dont find info on benchmarks for  DVT or line infections etc. 

I total up our quarterly outcomes and need to be up to date on the accepted ranges on these items. 

Thank you in advance for any assistance in comparing our results to the rest of the worlds>

Gina Ward R.N., CPAN

lynncrni
For complications, especially

For complications, especially catheter related bloodstream infection, there is no acceptable level. The prevailing thought now is that zero is the goal for infection based on the knowledge that these infections are preventable. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Gina Ward
  OK, that makes perfect

 

OK, that makes perfect sense.  I do remember seeing though somewhere written or posted that  BSI 2-3%, DVT 10%, CATH OCCLUSIONS 20% something like that with maybe not the "accepted" being the correct word, but being the average rate that this occurs. 

I am looking for a threshold or something to draw for these items.  Every patient that ends up with positive blood cultures is investigated thoroughly by our Infection control nurse.  I am wondering about DVTS for example;  if I say I have 2 occur a quarter and this is approx 2 %, should I initiate some kind of investigation , listing all the factors that could have contributed to this and what we suspect it occured from and make an action plan or just report the 2 and be aware that this is less than the typical 10% ? that is the kind of info I am looking for.  I do risk assessments on patients before I do the picc;  looking at all contributing factors that could be for dvts, infection etc so when or if a complication occurs we have that info readily available to "explain" the situation without having to dig around in the chart 2-3 months later. ( so i usually do have plenty of data available)

I appreciate any help you can give me. 

Thanks,  Gina Ward RN, CPAN

 

Gina Ward R.N., VA-BC

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