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May 2013 Vol 97 No 5 • AORN Connections | C3 © AORN, Inc, 2013 AORN Connections is the news section of the AORN Journal, providing expert perspectives and in-depth coverage on perioperative news topics. Each month AORN Connections includes news and feature stories related to health care policy, management, technology, implementation of safe practices, and other perioperative practice issues. PUBLICATIONS DEPARTMENT DESIGN & PRODUCTION Leslie Knudson Kurt Jones Managing Editor Senior Graphic Designer CONTACT US: [email protected] AORN Connections is published monthly as part of the AORN Journal by AORN, the Associa- tion of Perioperative Registered Nurses. Copyright © 2013 AORN, Inc. All rights reserved. Views expressed in the editorial pages or statements or photographs in advertisements do not imply AORN endorsement. See the “Information for Readers” page earlier in this issue for reprint and reuse information. Reproduction by any means without written permission is prohibited. AORN Connections is a benefit of membership in AORN. AORN, Inc. 2170 S. Parker Road, Suite 400, Denver, CO 80231-5711 (303) 755-6304; (800) 755-2676; www.aorn.org PEDIATRICS Catheter placement in children should be close to heart Research findings from a Johns Hopkins Children’s Center study show that central venous catheters inserted in a peripheral vein in the arm or leg in children and not threaded into a major blood vessel near the heart are nearly four times as likely to dislodge and cause vein inflammation or dangerous blood clots as catheters threaded close to the heart. According to the study researchers, leaving a peripherally inserted central venous catheter in a non-central vein should only be a last resort, because non-central veins are narrower, thinner, and more prone to injury than major vessels near the heart. The study, which examined 1,800 pediatric patients hospitalized at Johns Hopkins over a six-year period, found that non-centrally positioned catheters accounted for 16 percent of central lines placed and 44 percent of all complications leading to catheter removal. Read more at: hp://www. newswise.com/articles/ view/600390/?sc=sphp. INFECTION CONTROL Revised guidelines for preventing C. diff infections The Association for Professionals in Infection Control and Epidemiology has released an updated implementation guide designed to help with the prevention of Clostridium difficile (C. diff) infections, which are responsible for the deaths of approximately 14,000 Americans on an annual basis. Developed by a team of infection prevention experts, the new “Guide to Preventing Clostridium difficile Infections” contains new and revised content on topics such as NEWS IN BRIEF Continued on C4 2011 ASHPE AWARD WINNER 2012-2013 NEWS ADVISORY GROUP Jennifer Bragdon, MSN, MTS, RN, CPN, CNOR, Periop Educator Cambridge Health Alliance Terry Chang, MD, JD, Associate General Counsel and Director Legal & Medical Affairs, AdvaMed Kathleen Corrigan, RN, Staff Nurse Children’s Hospital Boston Mark Duro, CRCST, FCS, Manager Central Sterile Processing Department, New England Baptist Hospital Stella Harrington, BSN, RN, CNOR, Level II Nurse Children’s Hospital Boston Colleen Heeter, MBA, BSN, RN, Vice President of Operations Surgical Care Affiliates Marcie Janetti, BSN, RN, CNOR, Staff Nurse, Clinical Scholar Jersey Shore University Medical Center Donna W. Laney, BSN, RN-BC, Board Certified Nurse Informatics, Quality Analyst McKesson Julie Moyle, MSN, RN, Consultant 1x1 Consulting Pauline Robitaille, MSN, RN, CNOR, Nursing Director Operating Room, Brigham and Women’s Hospital Shelly Satterthwait, MHSA, RN, CNOR, Director of Surgical Services Bozeman Deaconess Hospital Pegi Wasserman, BSN, RN, ACS NSQIP Perioperative Clinical Reviewer Advocate Illinois Masonic Medical Center Jane Wick, BSN, RN, Surgical Services Nurse Shriners Hospital for Children Portland
