Catheter Hub and Injection Port Cleaning Survey
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1. Catheter Hub and Injection Port Cleaning Survey
1
. What is the policy in your facility regarding the amount of time that each catheter hub or injection port should be scrubbed prior to access?
What is the policy in your facility regarding the amount of time that each catheter hub or injection port should be scrubbed prior to access?
2 seconds
5 seconds
15 seconds
30 seconds
No time specified
Other (please specify):
2
. In your facility, what access sites are cleaned prior to accessing? (CHECK ALL THAT APPLY)
In your facility, what access sites are cleaned prior to accessing? (CHECK ALL THAT APPLY)
Catheter female luer hub
Needless injection cap
Tubing Y-site
Tubing spike
Stop-cock female luers
Single dose vials after removing cap
Injection port of IV bag (e.g. 500 ml normal saline)
Other sites (please specify):
3
. Are you aware of the Joint Commission requirement to "Use a standardized protocol to disinfect catheter hubs and injection ports before accessing the ports"?
Are you aware of the Joint Commission requirement to "Use a standardized protocol to disinfect catheter hubs and injection ports before accessing the ports"?
Yes
No
Comments:
4
. If you answered "Yes" to the previous question, is your facility taking any action or making any changes due to this requirement?
If you answered "Yes" to the previous question, is your facility taking any action or making any changes due to this requirement?
Yes
No
If Yes, what actions/changes?
5
. Recently, a number of hub/injection port cleaning devices have become available. For example, one such device (see picture below) is a soft plastic cup containing 70% isopropyl alcohol with foam "fingers", which enables a friction scrub of the intra-luminal and extra-luminal surfaces of a catheter hub or injection port.
Based upon the number of times that you need to clean a hub or cap prior to accessing the line/catheter each day, how acceptable would it be for these cleaning devices to come in a box of 100 units?
Recently, a number of hub/injection port cleaning devices have become available. For example, one such device (see picture below) is a soft plastic cup containing 70% isopropyl alcohol with foam "fingers", which enables a friction scrub of the intra-luminal and extra-luminal surfaces of a catheter hub or injection port. Based upon the number of times that you need to clean a hub or cap prior to accessing the line/catheter each day, how acceptable would it be for these cleaning devices to come in a box of 100 units?
Completely Acceptable
Somewhat Acceptable
Neutral
Somewhat Unacceptable
Completely Unacceptable
If Unacceptable, what would be the ideal quantity?
6
. If your hospital were using the cleaning device pictured above IN AN INTENSIVE CARE UNIT (ICU) what would be the best way(s) to dispense the device in your ICU to help ensure compliance and clinician convenience? (CHECK THE BEST WAY(S))
If your hospital were using the cleaning device pictured above IN AN INTENSIVE CARE UNIT (ICU) what would be the best way(s) to dispense the device in your ICU to help ensure compliance and clinician convenience? (CHECK THE BEST WAY(S))
Dispenser mounted on a wall in patient's room
Dispenser mounted on the IV pole in patient's room
Dispenser mounted on a wall in the med room
Dispenser with suction cups that can be mounted on glass
Dispenser that can be a "door-hang" similar to a wreath holder
Dispenser that can be mounted on a cart
Available in department's supply closet
In a box on the bedside table or nightstand
In a box on a counter in the patient's room
Carry cleaning devices in pocket
Other:
7
. If your hospital were using the cleaning device pictured above IN A MEDICAL-SURGICAL UNIT (MED-SURG) what would be the best way(s) to dispense the device in your Med-Surg to help ensure compliance and clinician convenience? (CHECK THE BEST WAY(S))
If your hospital were using the cleaning device pictured above IN A MEDICAL-SURGICAL UNIT (MED-SURG) what would be the best way(s) to dispense the device in your Med-Surg to help ensure compliance and clinician convenience? (CHECK THE BEST WAY(S))
Dispenser mounted on a wall in patient's room
Dispenser mounted on the IV pole in patient's room
Dispenser mounted on a wall in the med room
Dispenser with suction cups that can be mounted on glass
Dispenser that can be a "door-hang" similar to a wreath holder
Dispenser that can be mounted on a cart
Available in department's supply closet
In a box on the bedside table or nightstand
In a box on a counter in the patient's room
Carry cleaning devices in pocket
Other:
8
. If these devices came in box that fit in a wall-mountable dispensing unit, based upon the number of times that you need to clean a hub or cap prior to accessing the line/catheter each day, how acceptable would it be for that box to contain 500 units?
If these devices came in box that fit in a wall-mountable dispensing unit, based upon the number of times that you need to clean a hub or cap prior to accessing the line/catheter each day, how acceptable would it be for that box to contain 500 units?
Completely Acceptable
Somewhat Acceptable
Neutral
Somewhat Unacceptable
Completely Unacceptable
If Unacceptable, what would be the ideal quantity?
9
. In your facility, who is typically responsible for physically installing dispensing units on the walls (e.g. sharps containers, hand sanitizer, etc.)?
In your facility, who is typically responsible for physically installing dispensing units on the walls (e.g. sharps containers, hand sanitizer, etc.)?
Your hospital Facilities/Maintenance
Your hospital Engineering
Installation personnel from company that has dispenser
Sales rep from company that has dispenser
Other (please specify)/Comments:
10
. How much would you expect to pay for a device like the one pictured below that contains 70% isopropyl alcohol with foam "fingers", and enables a friction scrub of the intra-luminal, and extra-luminal surfaces of a catheter hub or injection port?
How much would you expect to pay for a device like the one pictured below that contains 70% isopropyl alcohol with foam "fingers", and enables a friction scrub of the intra-luminal, and extra-luminal surfaces of a catheter hub or injection port?
Less than $0.20
$0.20
$0.30
$0.40
$0.50
$0.60
More than $0.60
Reason for response:
11
. Do you see any other uses the cleaning device (pictured above) other than for cleaning catheter hubs and injection ports?
Do you see any other uses the cleaning device (pictured above) other than for cleaning catheter hubs and injection ports?
12
. What is the best way to ensure compliance by nurses in using the cleaning device pictured above?
What is the best way to ensure compliance by nurses in using the cleaning device pictured above?
Sticker provided with each cleaning device to be placed on patient's chart after EACH hub or injection port cleaning prior to accessing the line/catheter
Bar code printed on each cleaning device to be scanned before EACH hub or injection port cleaning
Checklist included with each cleaning device to document cleaning steps before EACH hub or injection port cleaning
None of the above
If "None of the above", what is the best way to ensure compliance?
13
. If a sticker were provided with each cleaning device to be placed on the patient's chart after EACH hub or injection port cleaning prior to accessing the line/catheter, how likely are nurses to use these stickers?
If a sticker were provided with each cleaning device to be placed on the patient's chart after EACH hub or injection port cleaning prior to accessing the line/catheter, how likely are nurses to use these stickers?
Very Likely
Somewhat Likely
Neutral
Somewhat Unlikely
Very Unlikely
Comments:
14
. If a bar-code were printed on each cleaning device to track its use, how likely are nurses to scan this code before EACH site cleaning prior the delivery of medication in a catheter hub or injection port?
If a bar-code were printed on each cleaning device to track its use, how likely are nurses to scan this code before EACH site cleaning prior the delivery of medication in a catheter hub or injection port?
Very Likely
Somewhat Likely
Neutral
Somewhat Unlikely
Very Unlikely
Comments:
15
. Is there a need to document EACH catheter hub or injection port cleaning?
Is there a need to document EACH catheter hub or injection port cleaning?
Yes
No
Reason for answer:
16
. What departments/areas in the hospital would benefit from a more thorough cleaning device for catheter hubs and injection ports? (CHECK ALL THAT APPLY)
What departments/areas in the hospital would benefit from a more thorough cleaning device for catheter hubs and injection ports? (CHECK ALL THAT APPLY)
ICU
IV Therapy
Recovery Room/Operating Room
Dialysis Units
Med-Surg areas
Oncology
Emergency Room
Other areas:
17
. If you wanted to adopt the device pictured below as part of your department's/facility's cleaning protocol for catheter hubs and injection ports, who would be the KEY people in your facility that would need to approve the final decision? (CHECK ALL THE KEY PEOPLE)
If you wanted to adopt the device pictured below as part of your department's/facility's cleaning protocol for catheter hubs and injection ports, who would be the KEY people in your facility that would need to approve the final decision? (CHECK ALL THE KEY PEOPLE)
Infection Prevention
Implementation coordinator Joint Commission
Medical Director
ICU Director
IV Therapy
OR Director
Oncology Director
Med-Surg Director
Materials Management
Pharmacy
Other (please specify) and Comments:
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