What Best Pico Question & Answer Guide (With Explanation)
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Original Question
What is the best PICO question for this case study Central Line Associated Blood Stream Infections Our central line-associated blood stream infection (CLABSI) rates are different in our two ICU units; cardiovascular ICU (CVICU) and our regular ICU (ICU). Both units have the same protocol of cleansing the area with hexachlorophene sponges every 72 hours when changing the dressing. This is the only time the dressing is changed. Otherwise, the nurse looks at the site for redness or any issues with drainage from the site and charts it in the documentation system every four hours. The number of patients with central lines is the same for both units. When speaking with CVICU nurses, they said that the only thing they do differently from the protocol is to change the dressing once a day, using hexachlorophene sponges during the dressing change. The ICU nurses state that they have leftover betadine sponges that they are trying to use up before switching to the hexachlorophene sponges. They had ten cases of the betadine sponges that could not be returned so to promote cost-effectiveness, they decided as a unit to finish up the cases. The hospital switched to hexachorophene sponges in the second quarter of the year. We currently have no way to quickly identify those patients with CLABSIs since the only way to determine if one is present is to remove the catheter and culture it. We want to know if our protocol is the best way to care for patients with central lines.
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