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Capstone Project Topic Selection and Approval

Jessy Johnson

Grand Canyon University

NRS 490

Apr 8, 2018
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Capstone Project Topic Selection and Approval

The evidence-based practice proposal topic for the capstone project revolves around the

Central Line-Associated Bloodstream Infection (Marschall, Mermel and Classen). The health

complication is a bacterial infection that happens when a bacteria or germs enters human

bloodstream system through the central line of the human body. The central lines are

acknowledged to be a medical initiative used by doctors to administer drugs into the human body

through its blood. The initiative is also used in medication environment to collect blood from the

human the human body system for test purposes. During the process of establishing the central

line medication or medical practice, germs or bacteria can find themselves in the human

bloodstream through the vain system used to insert the catheter tubing. Meaning the occurrence of

the disease is achieved from the carelessness of the medical professional administering the

medication activity by the use of the central line.

In this case, the problem has existed in the administration of the drug for a patient infected

by bacterial diseases using the central line system. It is acknowledged that the doctor has ordered

for the replacement of the central line in ensuring a given therapy activity that supports the

administration of the peripheral IV antibiotic which is not supported by the direct drug

administration (Schulman, Stricof and Stevens). However, despite the sensitivity of the cervical

process, the doctors opt to give the entire surgery activity to a student who is to be supervised by

a doctor. To make the matter worse, the supervising doctor has not followed a proper guideline for

the insertion and care of the central venous catheter. Meaning, the patient is not only likely to be

dangerously harmed with the surgical process but is also capable of achieving another biotic

infection.
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Given the nature of the issue within the case, it is evident that the doctors or the concerned

parties within the healthcare discipline lacked a proper compliance to the ethical codes that regulate

their conducts in their line of practices (CDC). The Central Line-Associated Bloodstream infection

can always be prevented through the engagement of ethical compliance in the line of medical

practice. For that matter, an initiative that can always perfectly work in preventing the occurrence

of such level of non-compliance to ethical issues within the healthcare department involves around

educational programs for the doctors and any other person involved in their line of practice.

The setting in which the educational program can be factored revolves around initiating an

online platform for discussing health matters related to the importance of ensuring appreciable

compliance to the ethical codes within the healthcare discipline (Rosenthal, Maki and Rodrigues).

In that, all the medical practitioners will be required to register with the program and are

professionally regulated to have a given time in managing their time into the website teaching

materials. The healthcare practitioners will also be required to attend a tutoring program at their

comfort regardless of the geographical discrepancies three times a year. Upon attending to such

educational program, particularly, among the medical practitioners within the medical and surgical

units that involves the use of the central line in drug administration, the medical officers will be

able to improve their understanding on the need to ensure appreciable adherence to the provided

regulatory measures in their respective fields of practice (DePalo, McNicoll and Cornell). As a

result, such incidences as the one witnessed within the case will not happen again among the

ethically committed doctors.

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References

Banach, D. B and D. P Calfee. "Central Line-Associated Bloodstream Infection." Healthcare

Associated Infections: A Case-based Approach to Diagnosis and Management (2013).

CDC. "Vital signs: central line–associated blood stream infections—United States, 2001, 2008,

and 2009." Annals of Emergency Medicine, 58(5) (2011): 447-450.

Chandonnet, C. J, et al. "Health care failure mode and effect analysis to reduce NICU line–

associated bloodstream infections." Pediatrics, 131(6) (2013): e1961-e1969.

DePalo, V. A, et al. "The Rhode Island ICU collaborative: a model for reducing central line-

associated bloodstream infection and ventilator-associated pneumonia statewide." BMJ

Quality & Safety, 19(6) (2010): 555-561.

Furuya, E. Y, et al. "Central line bundle implementation in US intensive care units and impact on

bloodstream infections." PloS one, 6(1) (2011): e15452.

Kocher, R. P and E. Y Adashi. "Hospital readmissions and the Affordable Care Act: paying for

coordinated quality care." Jama, 306(16) (2011): 1794-1795.

Marschall, J, et al. "Strategies to prevent central line–associated bloodstream infections in acute

care hospitals." Infection Control & Hospital Epidemiology, 29(S1) (2008): S22-S30.

McLaws, M. L and A. R Burrell. "Zero risk for central line-associated bloodstream infection: are

we there yet?" Critical care medicine, 40(2) (2012): 388-393.

Protection, P and A. C Act. "Patient protection and affordable care act." Public law, 111(48)

(2010): 759-762.
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Robert, W. J. The Future of Nursing: Leading Change, Advancing Health. Washington (DC):

National Academies Press (US), 2011.

Rosenthal, V. D, et al. "Impact of International Nosocomial Infection Control Consortium

(INICC) strategy on central line–associated bloodstream infection rates in the intensive

care units of 15 developing countries." Infection Control & Hospital Epidemiology,

31(12) (2010): 1264-1272.

Schulman, J, et al. "Statewide NICU central-line-associated bloodstream infection rates decline

after bundles and checklists." Pediatrics, 127(3) (2011): 436-444.