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2 Minute EBP Challenge

Monday, February 13, 2012
Treatment of "Wake Up" Stroke
In up to 25% of patients with stroke the onset time is unknown. If the patient woke up with ischemic stroke symptoms, what would be the most appropriate treatment?

Monday, February 06, 2012
Compression Stockings and VTE
Which of the following statements about compression elastic stockings for prevention of venous thromboembolism (VTE) is true?

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

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  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Home > 2 Minute EBP Challenge > Scrub the Hub

    Scrub the Hub

    Monday, January 30, 2012
    2 Minute EBP CHallenge

    Stay up-to-date the easy way!

    How would you answer this question?

    The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

    a.  One minute.
    b.  30 seconds.
    c.  15 seconds.
    d.  3 seconds or less.

    The correct answer is "c" 15 seconds.

    Watch the video response here.

    "Fifty-six percent of nurses do not feel the need to disinfect the catheter hub prior to connection" (Hadaway, 2007). Catheter related blood stream infections increase hospital length of stay by 12 days, hospital costs by $18,432, and mortality by 18%.

    The CDC uses specific wording on their recommendations to "scrub" rather than "wipe" the hubs on intravenous (IV) catheters with alcohol or chlorhexadine before accessing. The CDC recommends scrubbing for 15 seconds, while the Infusion Nurses Society and others recommend a 30 second scrub. A study by Simmons, et al. (2011) found significant differences between 15 second scrubs and shorter scrubs. While it is probable that 30 second scrubs could reduce infection rate further, the authors thought that compliance would be increased with the shorter 15 second scrub recommendation.

    From: Hadaway, L. (2007). Intermittent intravenous administration sets: Survey of current practices. Journal of Vascular Access, 12(3), 143-147.
    Simmons, S., Bryson, C., & Porter, S. (2011). "Scrub the hub:" Cleaning duration and reduction in bacterial load on central venous catheters. Critical Care Nursing Quarterly, 34(1), 31-35.

    Congratulations to Daisamma Mathew who won an autographed copy of my 101 Tips to Improve Your Nursing Care book for answering this week's question correctly.  Congratulations Daisamma!

    Get free Nursing Tips by texting NursingTips to 86677. 

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    Best wishes,
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
    President,     Ed4Nurses, Inc.

    (c) 2012 Ed4Nurses, Inc.  Feel free to print this e-mail and share it with your colleagues. Other forms of digital or print reproduction are prohibited without prior written consent from Ed4Nurses, Inc.
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