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Reducing Central Venous Catheter-Related Bloodstream Infections in Children With Cancer

Brandi Horvath
Robbie Norville
Deborah Lee
Annie Hyde
MaryAnn Gregurich
Marilyn Hockenberry
ONF 2009, 36(2), 232-238 DOI: 10.1188/09.ONF.232-238
Purpose/Objectives: To determine whether a comprehensive educational program influenced the incidence of hub colonization of central venous catheters (CVCs) and bloodstream infection rates in children with cancer, to identify risk factors related to infection rates, and to determine the impact of...
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Evidence-Based Practice

Determining the Minimum Discard Volume for Central Venous Catheter Blood Draws

Sheri Wyant
Rachael Crickman
CJON 2012, 16(5), 454-458 DOI: 10.1188/12.CJON.454-458
This study aimed to determine the minimum discard volume from central venous catheters (CVCs) to avoid dilution or contamination from flush or IV fluids. In 93 adult patients with CVCs, minimum discard volume findings were 9 ml for tunneled and 6 ml for nontunneled catheters. Nurses who obtain...
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Management of Irritant Contact Dermatitis and Peripherally Inserted Central Catheters

Lia Kutzscher
CJON 2012, 16(2), E48-E55 DOI: 10.1188/12.CJON.E48-E55
Cutaneous skin changes are common in patients undergoing treatment for cancer. However, changes in central line care, maintenance practices, and chemotherapy protocols in the early 2000s may have led to the development of a common problem of irritant contact dermatitis (ICD) at peripherally...
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Strategic Patient Education Program to Prevent Catheter-Related Bloodstream Infection

Rebecca F. DeLa Cruz
Brenda Caillouet
Susan S. Guerrero
CJON 2012, 16(1), E12-E17 DOI: 10.1188/12.CJON.E12-E17
Central venous catheters (CVCs) are used commonly for venous access during treatment, and catheter-related bloodstream infection (CRBSI) is a frequent, yet highly preventable, hospital-acquired infection. One of the performance elements of the Joint Commission's 2012 National Patient Safety Goals...
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Oncology 101

Accessing Implanted Ports: Still a Source of Controversy

Seth Eisenberg
CJON 2011, 15(3), 324-326 DOI: 10.1188/11.CJON.324-326
In delivering safe care to their patients, oncology nurses should be familiar with the proper use and maintenance of implanted ports. Yet, despite the ubiquitous presence of implanted ports, accessing techniques and patency maintenance remain controversial. Additional research is needed to...
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