Manejo de catéteres venosos centrales por los profesionales de enfermería en las áreas críticas intensivas del Hospital Teodoro Maldonado Carbo.

Abstract

Central venous catheters (CVC), are used in Intensive Care Units, with the purpose of promoting the recovery of patients, since through these medications and nutrients are supplied, whose maintenance is the responsibility of nursing professionals. Objective: To determine the management of the central venous catheter by nursing professionals in intensive critical areas of the Teodoro Maldonado Carbo Hospital. Methodology: descriptive, quantitative, cross-sectional, prospective, technique: survey, Instrument, questionnaire and bundle. Population and sample 69 nursing professionals in the period of January, February and March 2022. Results: In the hospital, 100% of the graduates washed their hands before and after handling the CVC, 97% performed site assessment of insertion, 91% used alcoholic chlorhexidine in dressings, 49% used transparent dressing, 92% labeled the CVC, 95% used sterile gloves, 45% changed the circuits every 72 hours, 86% know the CVC management protocols, 68% received feedback and to corroborate these results, a maintenance bundle was applied to 32 nurses in the ICU in the different shifts, obtaining as a result 28% non-compliance, in which hand washing after performing the procedure and then the lack of disinfection stand out. of the ports of entry. Conclusion: Deficiencies are evident with respect to compliance with the protocols for the maintenance of CVCs, as well as complications such as work overload and lack of personnel.