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Sarah Dobinson (case study 2) has a triple lumen Central Venous Catheter (CVC) inserted. This line was inserted to deliver intravenous fluids and antimicrobial agents, and to monitor her central venous pressure. There is a high incidence of infection related to the use of CVP catheters and Sarah is particularly at risk of infection because she is elderly and in a hyper metabolic state secondary to trauma.
Central line infection is preventable and nurses can play a major role in decreasing the incidence of this type of hospital acquired infection. Focusing on clinical practices that are effective in preventing central line infection, you are required to develop a Central Line Clinical
Practice Guideline (which will be approximately one page in length) for use in the high acuity ward where Sara is currently located. Further to this, you are required to critically argue (in essay format) why you have included each of the practice guidelines in your document. In order
to identify the evidence base for best practice only primary research articles can be used. That is, unit protocols, textbooks and other secondary sources to do NOT qualify as suitable reference material for uncovering the evidence base for best practice. The following data bases should be sourced; PubMed, The Cummulative Index of Nursing and Allied Health Literature (CINAHL); and Medline to locate the research evidence.
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