Its a shame the CDC could not manage to stay evidence based when making a recommendation about draping. A full body drape is silly, and not supported by evidence.
I don't feel the full body drape is silly, it is a standard of practice which is why they voted to not make a change to this. Although I have not done a formal study, I can say that in our facility the PICC team utilizes a full body drape on every insertion and we have a significantly lower infection rate compared to the surgical teams who place CVC's using a much smaller drape. One other thing, if they were to change the wording to half sheet, exactly how big would that be? A half sheet would tend to cover up some people, however, in reality, as we deal with more and more obese and barrel chested people a half sheet barely covers their chest area and is more likely to slip and slide around and end up around their shoulders and chin by the time we completed insertion. I like the full body drape and am glad it is staying.
Full body drapes are supported by evidence. In fact there were at least 2 studies that I can quickly think of showing a reduction in CRBSI with full body drape. So it is far from being ridiculous!!
Thanks to whoever posted the synoposis of the CDC changes. I knew this document has been finalized. So I would expect it to be published in the near future, however I do not have any dates. The publications process does take a while to accomplish. In March, I heard Dr. O'Grady say these would be out by the end of summer. Lynn
Here's a link Tim! Hope this helps!
http://www.cdc.gov/hicpac/pdf/BSI_guideline_IssuesMay17final.pdf
Marty Quinton, CRNI
Tim,
This is the original cdc document. My first post are revisions.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm
Marty
Thanks!
Its a shame the CDC could not manage to stay evidence based when making a recommendation about draping. A full body drape is silly, and not supported by evidence.
Tim
I don't feel the full body drape is silly, it is a standard of practice which is why they voted to not make a change to this. Although I have not done a formal study, I can say that in our facility the PICC team utilizes a full body drape on every insertion and we have a significantly lower infection rate compared to the surgical teams who place CVC's using a much smaller drape. One other thing, if they were to change the wording to half sheet, exactly how big would that be? A half sheet would tend to cover up some people, however, in reality, as we deal with more and more obese and barrel chested people a half sheet barely covers their chest area and is more likely to slip and slide around and end up around their shoulders and chin by the time we completed insertion. I like the full body drape and am glad it is staying.
Full body drapes are supported by evidence. In fact there were at least 2 studies that I can quickly think of showing a reduction in CRBSI with full body drape. So it is far from being ridiculous!!
Thanks to whoever posted the synoposis of the CDC changes. I knew this document has been finalized. So I would expect it to be published in the near future, however I do not have any dates. The publications process does take a while to accomplish. In March, I heard Dr. O'Grady say these would be out by the end of summer. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861