Along with everyone else, we are fighting the CRBSI battle.Â We've renewed our efforts and have had (at best) mixed results.Â Today I was questioned why PICCs tend to show up with greater numbers of CRBSIs than our subclavian/IJ lines do.Â I mentioned catheter days vs numbers of line infections and was told that even with that calculated in we are seeing greater numbers of PICC blood system infections than with our other 'centrals'.Â
IÂ believe we're getting hit with care issues more than anything.Â Catheter related infections are typically showing upÂ multiple days post line insertion.Â Many of the offending organisms are enteric.Â On the other hand, if care is the problem, why are we not seeing the same problems with our peripheral IVs?Â
We've done a big push for 10 second hub scrubs (just trying to get past the 'cursory swipe' they used to use).Â We're monitoring compliance and it seems to be better.Â Yet we continue to getÂ hit with CRBSIs.Â We're tracking unit occurances and doing education there.Â UGH......it's just so frustrating.
Still, none of this explains why the PICCs are seemingly more often a piece of this than other catheters are.Â HELP!Â I need a magic wand!
Alma Kooistra RN CRNI