Nurse02818
23rd October 2009, 15:10
I work in a large NICU but when I am not needed for a shift I will go relieving , often to the pediatric ocology unit.
There, when sepsis is being treated , antibiotics will be infused into each lumen of a cvl on a regular basis .The care plan will indicate whether the Gentamycin goes in the blue or yellow lumen at a particular time eg . There is literature to support this practice . If both lumens are not cleared of infection before antibiotics are discontinued , the infection will simply recur . When I mentioned this practice to my colleagues in NICU , they look at me like I am possessed and over several years ,with me supplying supporting documetation ,nothing has ever been done about it. Does any other NICU follow this practice ? That might have more influence than saying that the oncology unit in our own hospital adheres to this standard ? Our unit management talks 'best practices ' but achieving a change in practice is like pulling teeth.
There, when sepsis is being treated , antibiotics will be infused into each lumen of a cvl on a regular basis .The care plan will indicate whether the Gentamycin goes in the blue or yellow lumen at a particular time eg . There is literature to support this practice . If both lumens are not cleared of infection before antibiotics are discontinued , the infection will simply recur . When I mentioned this practice to my colleagues in NICU , they look at me like I am possessed and over several years ,with me supplying supporting documetation ,nothing has ever been done about it. Does any other NICU follow this practice ? That might have more influence than saying that the oncology unit in our own hospital adheres to this standard ? Our unit management talks 'best practices ' but achieving a change in practice is like pulling teeth.