Its a shame the CDC could not manage to stay evidence based when making a recommendation about draping. A full body drape is silly, and not supported by evidence.
I don't feel the full body drape is silly, it is a standard of practice which is why they voted to not make a change to this. Although I have not done a formal study, I can say that in our facility the PICC team utilizes a full body drape on every insertion and we have a significantly lower infection rate compared to the surgical teams who place CVC's using a much smaller drape. One other thing, if they were to change the wording to half sheet, exactly how big would that be? A half sheet would tend to cover up some people, however, in reality, as we deal with more and more obese and barrel chested people a half sheet barely covers their chest area and is more likely to slip and slide around and end up around their shoulders and chin by the time we completed insertion. I like the full body drape and am glad it is staying.
Full body drapes are supported by evidence. In fact there were at least 2 studies that I can quickly think of showing a reduction in CRBSI with full body drape. So it is far from being ridiculous!!
Thanks to whoever posted the synoposis of the CDC changes. I knew this document has been finalized. So I would expect it to be published in the near future, however I do not have any dates. The publications process does take a while to accomplish. In March, I heard Dr. O'Grady say these would be out by the end of summer. Lynn
Here's a link Tim! Hope this helps!
http://www.cdc.gov/hicpac/pdf/BSI_guideline_IssuesMay17final.pdf
Marty Quinton, CRNI
Tim,
This is the original cdc document. My first post are revisions.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm
Marty
Thanks!
Its a shame the CDC could not manage to stay evidence based when making a recommendation about draping. A full body drape is silly, and not supported by evidence.
Tim
I don't feel the full body drape is silly, it is a standard of practice which is why they voted to not make a change to this. Although I have not done a formal study, I can say that in our facility the PICC team utilizes a full body drape on every insertion and we have a significantly lower infection rate compared to the surgical teams who place CVC's using a much smaller drape. One other thing, if they were to change the wording to half sheet, exactly how big would that be? A half sheet would tend to cover up some people, however, in reality, as we deal with more and more obese and barrel chested people a half sheet barely covers their chest area and is more likely to slip and slide around and end up around their shoulders and chin by the time we completed insertion. I like the full body drape and am glad it is staying.
Full body drapes are supported by evidence. In fact there were at least 2 studies that I can quickly think of showing a reduction in CRBSI with full body drape. So it is far from being ridiculous!!
Thanks to whoever posted the synoposis of the CDC changes. I knew this document has been finalized. So I would expect it to be published in the near future, however I do not have any dates. The publications process does take a while to accomplish. In March, I heard Dr. O'Grady say these would be out by the end of summer. 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