A snapshot of guideline compliance reveals room for improvement: A survey of peripheral arterial catheter practices in Australian operating theatres

Journal of Advanced Nursing

Volumn 69, Issue 7, 2013, Pages 1584-1594

  Reynolds, Heather ^a,b   Dulhunty, Joel ^a   Tower, Marion ^b   Taraporewalla, Kersi ^a   Rickard, Claire ^b  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b GRIFFITH UNIVERSITY   (Australia)

Author keywords

Anaesthesia; Clinical guidelines; Infection control; Theatre nursing

Indexed keywords

ADULT; ANESTHESIA; ARTICLE; AUSTRALIA; BLOOD GAS ANALYSIS; CATHETERIZATION; CROSS-SECTIONAL STUDY; HEALTH CARE SURVEY; HEMODYNAMICS; HUMAN; INFECTION CONTROL; METHODOLOGY; OPERATING ROOM; PATIENT MONITORING; PRACTICE GUIDELINE;

ADULT; ANESTHESIA; AUSTRALIA; BLOOD GAS ANALYSIS; CATHETERIZATION, PERIPHERAL; CROSS-SECTIONAL STUDIES; GUIDELINE ADHERENCE; HEALTH CARE SURVEYS; HEMODYNAMICS; HUMANS; INFECTION CONTROL; MONITORING, INTRAOPERATIVE; OPERATING ROOMS;

EID: 84878636368     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/jan.12018     Document Type: Article

References (58)

1. Alvaran M., Butz A. & Larson E. (1994) Opinions, knowledge, and self-reported practices related to infection control among nursing personnel in long-term care settings. American Journal of Infection Control 22, 367-370.
2. Andrews T. & Waterman H. (2008) What factors influence arterial blood gas sampling patterns?. British Association of Critical Care Nurses, Nursing in Critical Care 13(3), 132-137.
3. Andrews T., Waterman H. & Hillier V. (1999) Blood gas analysis: a study of blood loss in intensive care. Journal of Advanced Nursing 30(4), 851-857.
4. Asai T., Matsumoto S. & Shingu K. (2000) Incidence of blood-borne infectious micro-organisms: would you still not wear gloves?. Anaesthesia 55(6), 591-592.
5. Australian Institute of Health and Welfare. (2009). Australian Hospital Statistics 2007-2008. AIHW, Canberra. Retrieved from www.aihw.gov.au/publications/index.cfm/title/10776 on 1 September 2009.
6. Australian and New Zealand College of Anaesthetists (2005) PS28 Guidelines On Infection Control in Anaesthesia, Vol. 2009, ANZCA, Melbourne.
7. Australian and New Zealand Intensive Care Society. (2009). Adult Patient Database Contributing Units. ANZICS, Melbourne. Retrieved from www.anzics.com.au/article.asp?Section=adult&ID=46 on 19 March 2009
8. Band J. & Maki D. (1979) Infections caused by arterial catheters used for haemodynamic monitoring. The American Journal of Medicine 67, 735-741.
9. Beaujean D., Weersink A., Troelstra A. & Verhoef J. (2000) Concise communications. A pilot study on infection control in 10 randomly selected European hospital: results of a questionnaire survey. Infection Control and Hospital Epidemiology 21, 531-534.
10. Clapham M., Willis N. & Mapleson W. (1987) Minimum volume of discard for valid blood sampling from indwelling arterial cannulae. British Journal of Anaesthesia 59, 232-235.
11. Clemence M., Walker D. & Farr B. (1995) Central venous catheter practices: results of a survey. American Journal of Infection Control 23, 5-12.
12. Corwin H., Parsonnet K. & Gettinger A. (1995) RBC transfusion in the ICU. Is there a reason?. Chest 108, 767-771.
13. Del Cotillo M., Grané N., Llavoré M. & Quintana S. (2008) Heparinized solution vs. saline solution in the maintenance of arterial catheters: a double blind randomized clinical trial. Intensive Care Medicine 34, 339-343.
14. Dennis R., Ng R., Yeston N. & Statland B. (1985) Effect of sample dilutions on arterial blood gas determinations. Critical Care Medicine 13(12), 1067-1068.
15. Durie M., Beckmann U. & Gillies D. (2002) Incidents relating to arterial cannulation as identified in 7525 reports submitted to the Australian incident monitoring study (AIMS-ICU). Anaesthesia and Intensive Care 30, 60-65.
16. Esteve F., Pujol M., Limon E., Saballs M., Argerich M., Verdaguer R., Manez R., Ariza X. & Gudiol F. (2007) Bloodstream infection related to catheter connections: a prospective trial of two connection systems. Journal of Hospital Infection 67, 30-34.
17. Fowler R. & Berenson M. (2003) Blood conservation in the intensive care unit. Critical Care Medicine 31(12 Suppl.), S715-S720.
18. Gardner R. (1990) Direct arterial pressure monitoring. Current Anaesthesia and Critical Care 1(239-246).
19. Gleason E., Grossman S. & Campbell C. (1992) Minimizing diagnostic blood loss in critically ill patients. American Journal of Critical Care 1, 85-90.
20. Gowardman J.R., Lipman J. & Rickard C.M. (2010) Assessment of peripheral arterial catheters as a source of sepsis in the critically ill: a narrative review. Journal of Hospital Infection 75(1), 12-18.
21. Harbath S., Pittet D., Grady L., Zawacki A., Potter-Bynoe G., Samore M. & Goldmann D. (2002) Interventional study to evaluate the impact of an alcohol-based hand gel in improving hand hygiene. The Pediatric Infectious Disease Journal 21, 489-495.
22. Harley I. (2000) Monitoring. In An introduction to Anaesthesia (Harley I., Hore P., Rosewarne F. eds), Bridge Printery Alexandria, Alexandria, pp. 126-132.
23. Harrison C., Rogers D. & Rosen M. (1990) Blood contamination of anaesthetic and related staff. Anaesthesia 45, 831-833.
24. Henry M., Garner W. & Fabri P. (1986) Iatrogenic anemia. The American Journal of Surgery 151(March), 362-363.
25. Henry K., Campbell S., Collier P. & O'Boyle Williams C. (1994) Compliance with universal precautions and needle handling and disposal practices among emergency department staff at two community hospitals. American Journal of Infection Control 22, 129-137.
26. Kempen P. & Learned D. (1989) Anesthesia practice - A vector of infection?. Anesthesiology 71(3A), A948.
27. Koh D., Gowardman J., Rickard C., Roberson I. & Brown A. (2008) Prospective study of peripheral arterial catheter infection and comparison with concurrently sited central venous catheters. Critical Care Medicine 36, 397-402.
28. Loftus R., Koff M., Burchman C., Schwartzman J., Thorum V., Read M., Wood T. & Beach M. (2008) Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology 109(3), 399-407.
29. Loftus R., Muffly M., Brown J., Beach M., Koff M., Corwin H., Surgenor S., Kirkland K. & Yeager M. (2011) Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission. Anesthesia & Analgesia 112(1), 98-104.
30. Lorente L., Santacreu R., Martin M., Jiménez A. & Mora M. (2006) Arterial catheter-related infection of 2, 949 catheters. Critical Care 10(3), R83.
31. McNamara J. & Stacey S. (1999) Poor anaesthetist hygienic practices - A problem across all grades of anaesthetist. Anaesthesia 54(7), 718-719.
32. Mermel L. (2008) Arterial catheters are not risk-free spigots*. Critical Care Medicine 36(2), 620-622.
33. Merry A., Miller T., Findon G., Webster C. & Neff S. (2001) Touch contamination levels during anaesthetic procedures and their relationship to hand hygiene procedures: a clinical audit. British Journal of Anaesthesia 87(2), 291-294.
34. El Mikatti N., Dillon P. & Healy T. (1999) Hygienic practices of consultant anaesthetists: a survey of the North-West region of the UK. Anaesthesia 54(1), 13-18.
35. O'Donnell N. & Asbury A. (1992) The occupational hazard of human immunodeficiency virus and hepatitis B virus infection. 1. Perceived risks and preventative measures adopted by anaesthetists: a postal survey. Anaesthesia 47, 923-928.
36. O'Grady N., Alexander M., Dellinger E., Gerberding J., Heard S., Maki D., Masur H., McCormick R., Mermel L., Pearson M., Raad I., Randolph A. & Weinstein R. (2002) Guidelines for the prevention of intravascular catheter-related infections. MMWR Morbidity and Mortality Weekly Report 51(RR10), 1-26.
37. O'Grady N., Alexander M., Burns L., Dellinger P., Garland J., Heard S., Lipsett P., Masur H., Mermel L., Pearson M. & Saint S. (2011) CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. Centers for Disease Control and Prevention, Atlanta.
38. O'Hare D. & Chilvers R. (2001) Arterial blood sampling practices in intensive care units in England and Wales. Anaesthesia 56, 568-571.
39. Peruzzi W., Parker M. & Lichtenthal P. (1993) A clinical evaluation of a blood conservation device in medical intensive care patients. Critical Care Medicine 21, 501-506.
40. Pittet D., Tarara D. & Wenzel R. (1994) Nosocomial bloodstream infection in critically ill patients: excess length of stay, extra costs, and attributable mortality. The Journal of the American Medical Association 271, 1598-1601.
41. Preusser B., Lash J., Stone K., Winningham M., Gonyon D. & Nickel J. (1989) Quantifying the minimum discard sample required for accurate arterial blood gases. Nursing Research 38(5), 276-279.
42. Queensland Health (2008) Review of the Nurse Manager Role, Vol. 2009, Queensland Government, Brisbane.
43. Rickard C., Couchman B., Schmidt S., Dank A. & Purdie D. (2003) A discard volume of twice the deadspace ensures clinically accurate arterial blood gases and electrolytes and prevents unnecessary blood loss. Critical Care Medicine 31(6), 1654-1658.
44. Rickard C., Courtney M. & Webster J. (2004) Central venous catheters: a survey of ICU practices. Journal of Advanced Nursing 48(3), 247-256.
45. Rijnders B. (2005) Catheter related infection can be prevented...if we take the arterial line seriously too!. Critical Care Medicine 33(6), 1437-1439.
46. Rosenberg A., Bernstein R., Ramanathan S. & Albert D. (1989) Do anesthesiologists practice proper infection control precautions?. Anesthesiology 71(3A), A949.
47. Ryan A., Webster C., Merry A. & Grieve D. (2006) A national survey of infection control practice by New Zealand anaesthetists. Anaesthesia and Intensive Care 34, 68-74.
48. Sax H. & Pittet D. (2002) Interhospital differences in nosocomial infection rates: importance of case-mix adjustment. Archives of Internal Medicine 162, 2437-2442.
49. Scheer B., Perel A. & Pfieffer U. (2002) Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Critical Care 6(3), 198-204.
50. Silver M., Yue-Han L., Gragg L., Jubran F. & Stoller J. (1993) Reduction of blood loss from diagnostic sampling in critically ill patients using a blood-conserving arterial line system. Chest 104(6), 1711-1715.
51. Stein A., Makarawo T. & Ahmad M. (2003) A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. Journal of Hospital Infection 54, 68-73.
52. Tait A. & Tuttle D. (1995) Preventing perioperative transmission of infection: a survey of anesthesiology practice. Anesthesia & Analgesia 80, 764-769.
53. Tait A., Voepel-Lewis T., Tuttle D. & Malviya S. (2000) Compliance with standard guidelines for the prevention of occupational transmission of bloodborne and airborne pathogens: a survey of postanesthesia nursing practice. Journal of Continuing Education in Nursing 31(1), 38-44.
54. Tarpey J. & Lawler P. (1990) Iatrogenic anaemia? A survey of venesection in patients in the intensive therapy unit. Anaesthesia 45, 396-398.
55. Trampuz A. & Widmer A. (2004) Hand hygiene: a frequently missed lifesaving opportunity during patient care. Mayo Clinic Proceedings 79, 109-116.
56. Traore O., Liotier J. & Souweine B. (2005) Prospective study of arterial and central venous catheter colonization and of arterial and central venous catheter related bacteremia in intensive care units. Critical Care Medicine 33(6), 1276-1280.
57. Tuncali B., Kuvaki B., Tuncali B. & Capar E. (2005) A comparison of the efficacy of heparinized and nonheparinized solutions for maintenance of perioperative radial arterial catheter patency and subsequent occlusion. Anesthesia and Analgesia 100, 1117-1121.
58. Vincent J., Baron J., Reinhart K., Gattioni L., Thijs L., Webb A., Meier-Hellman A., Nollet G. & Peres-Bota D. (2002) Anemia and blood transfusion in critically ill patients. Journal of the American Medical Association 288, 1499-1507.