Assessment of Nurses Practices for the Prevention and Management of Central Line Insertion Associated Blood Stream Infection (CLABSI)

Central line insertion is a very common procedure in the hospital setting of Pakistan, which is facing a high (CLABSI) central line-associated bloodstream infection rate (9/1000 days mainline). Limited resources Infection always cost-effective and it increased the burden of the hospital and increased the suffering of the patients as well as patient’s families. The study aimed to assess the nursing practices for adherence to standard protocols towards the management of central line insertion and prevention from central line-associated bloodstream infection. A cross-sectional study was conducted in a tertiary care hospital. The sample size was 200 nurses who were working in Intensive Care Units. A simple random sampling technique was used to collect the data. The study tool comprises an observational checklist consisted of 26 items. The study duration was 4months. Ethical considerations followed by taken written consent. Nurses have good self-reported experiences and practices to manage central line insertion. In this study, the results show that the most nurses were working in the Intensive Care Unit (93.3%) and neonatal intensive care unit (75.0%) reported that they wash their hands and wipe the access port and catheter axis before reaching the catheter. All units used an iodine antiseptic solution powder fear at the place of insertion. This study will help the nurses to increase their understanding and knowledge about the care of central line insertion. This study will guide the nurses to reduce the infection rate through best practices linked to central line insertion and during handling of the central venous pressure.