Bundle care approach
A bundle is a set of evidence-based practices that, when performed collectively and reliably, improve patient outcomes. Individual elements of bundles are well-established practices, combined in a structured protocol, Whole clinical team agrees to it and is responsible for the same, For Example for IV line handling, the local healthcare team selects a set of 5 evidence based interventions to make a bundle, which may be named IV line bundle and strives to implement it consistently and reliably, Structured ‘care bundle’ approach has been designed to help healthcare workers consistently deliver the safest possible care for patients undergoing treatments.
In this webinar we will learn how to– Characteristics of bundle care approach, how it can be put into practice
Let us assume we have to make a bundle for minimising the risk of infection related to the use of invasive procedure. So the clinical team go in following sequence, Note and record various steps required for the procedure, There may be one or more ways to perform each individual step, Search the evidence, and select the ‘best’ way to perform each step, Identify 3-5 critical steps amongst the list of all above steps, Select evidence based intervention for these 3-5 steps, These interventions will be called as “bundle” for that particular procedure.
To prevent peripheral intravascular cannula associated infections, the bundle care recommendations may include, Daily review if the line is necessary. Promptly removeif unnecessary and documentation, Strict Hand hygiene measures before line handling, Handling of injection ports- All injection ports or hubs are cleaned with antiseptic solutions before each use.Clean the hub of IV cannula with alcohol, chlorhexidine/alcohol, povidone-iodine solution, Use of aseptic non-touch technique during procedures. E.g. if the intention is to give IV injection, keep injection tip covered with needle in a sterile tray and avoid its contact with any other place. After procedure, close the port and clean the hub again by antiseptics. Change the dressing if it is wet, soiled, loose.
Providing education and communication to unit staff regarding bundle care components, Conducting audits to assess compliance with bundle care components, Regularly reporting the results back to unit staff, Team approach to develop and implement bundle interventions. Teams can be created from the pool of health care professional e.g. doctors and nurses; and the guidance can be taken from the other departments e.g microbiology, infection control committee etc.
To summarise, in this webinar we have learnt about- Bundle care approach can be an effective way of infection prevention, Careful selection of strategies of bundle care for a focused intervention is the backbone, Implement 3-5 evidence based interventions for a focused intervention, Integrate team approach, auditing and regular reporting of results . Thank you
- Introduction...
- 1. Background...
- 2. Learning object...
- 3. Elements of bun...
- 4. Bundle care for...
- 5. Example of iden...
- 6. Example of iden...
- 7. Strategies for ...
- 8. Summary...
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