ICU patient

Helping to reduce the risk of secondary complications and minimize inefficiencies

We recognize that you’re being asked to do far more with far less right now, and protecting health care providers with PPE continues to be our top priority. We’re also here to support you by helping to reduce the risk of secondary complications and minimize inefficiencies so that you can focus on what matters most – providing care to your patients.

Explore guidelines, best practices and resources to help reduce the risk of secondary complications and minimize inefficiencies in the following areas:


Clinician closely monitoring a patient
ECG alarm response

Each day, a nurse can be prompted by as many as 700 alarms per patient day,¹ many of which are related to ECG monitoring. A significant proportion of ECG alarms are false or triggered by clinically insignificant events.²,³

  • Here are some quick tips to reduce the amount of time spent responding to and troubleshooting ECG alarms:
     

    • Clip excessive hair
    • Properly clean and dry the skin
    • Abrade the skin (for adult patients only) to reduce skin impedance and improve trace quality
    • When applying the electrode, activate the pressure sensitive adhesive
    • Evaluate alarm parameter settings
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Clinician monitoring a patient with a catheter
Catheter-related complications

Every IV site presents the potential for infection, dislodgement, skin damage and other complications. Through evidence-based practice and the right standards of care, you can help improve outcomes for every patient.

Disinfect and protect IV access points

The traditional standard of care in IV access point disinfection has been a thorough manual scrub of the IV access point with an alcohol pad, often referred to as “scrubbing the hub.” 3M™ Curos™ Disinfecting Port Protectors provide several advantages over the scrub the hub protocol:

  • 3M™ Curos™ Disinfecting Port Protector (green cap) on a needleless connector

    Save time

    Curos alcohol-impregnated caps provide fast passive disinfection, saving nurses valuable time compared to most scrub the hub protocols. In addition, no drying time is required to achieve disinfection.

  • 3M™ Curos™ Disinfecting Port Protectors (green cap) on a needleless connector and male luer

    Provide a physical barrier

    They provide a physical barrier to contamination between accesses, for up to 7 days.

  • scrub the hub

    Remove user technique variation

    Once a Curos cap is twisted into place, it provides consistent disinfection.

  • 3M™ Curos™ Disinfecting Port Protectors,  alcohol caps for central lines

    Provide visual confirmation

    Curos caps’ bright color help caregivers verify that a port is clean at a glance.

Secure critical tubes

In one study, unplanned extubations occurred in 22.5% of patients in the intensive care setting.⁴ When you need to keep a tube, device or bulky dressing securely in place, you need adhesion you can count on. 3M™ Multipore™ Dry Surgical Tape is a high-strength, conformable tape that gives you confidence in your securement applications.

  • Purple padlock

    High-strength

    Can be used for a variety of clinical applications including endotracheal tubes.
     

    • For use in dry conditions
    • Maintain close clinical oversight when excessive fluids and/or secretions are present
    • Tape securement and tube position should be monitored routinely
  • purple weight icon

    Strong adhesion

    Good initial adhesion to dry and wet skin.
  • purple shield icon

    Strong backing

    Specialized backing repels water and resists tearing under stress.

  • purple scissors cutting motion

    Easy to use

    Removable grid liner for precise cutting and customization to any shape and size with scissors.

If you’re looking for short-term endotracheal tube securement solutions, learn more (PDF, 287 KB).

Critical application videos

  • Critical Tube Securement Endotracheal Application video

    Critical Tube Securement Endotracheal Tube Application

  • Critical Tube Securement Nasogastric Application video

    Critical Tube Securement Nasogastric Application

  • Critical Tube Securement Foley Platform Application video

    Critical Tube Securement Indwelling Urinary Catheter Platform Application

  • Critical Tube Securement Surgical Drain Application video

    Critical Tube Securement Surgical Drain Application

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Clinician monitoring a patient with a pressure injury
Pressure injuries

Up to 41% of ICU patients may develop a pressure injury (PI), and most are developed within the first week of admission.⁵ When using prone positioning for patients, at-risk areas for PIs include medical device areas, face, knees, clavicles and pelvis.

  • Explore tips from the National Pressure Injury Advisory Panel to help reduce the risk of PIs for prone positioning:

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Clinicians monitoring for a infected would
Infected wounds

In the average 500-bed hospital, infected wounds add 10 days to the length of stay.⁶ Every infected wound requires a decisive treatment plan to help clear the infection and re-establish an environment for healing. The following steps can help with this goal:

    • Determine the bacterial stage
    • Develop a plan to resolve the infection including appropriate debridement and/or systematic antibiotics if clinically required
    • Choose the wound management products matched to patient needs
  • Studies have shown that advanced therapies such as negative pressure wound therapy (NPWT) used to manage wounds have the potential to provide cost savings to the healthcare system that may include:
     

    • Reduced cost of care in acute and post-acute settings7,8
    • Reduced risk of hospitalization and emergent care episodes9
    • Reduced total nursing time and wound related costs10
    • Reduced risk of repeat skin graft and associated length of hospital stay11

    The instillation of topical wound solutions in combination with NPWT can help facilitate the removal of wound exudate and infectious material which have been shown in clinical studies to help promote wound healing compared to traditional NPWT alone.12

    Explore NPWT+Instillation solutions

    Explore other infected wound solutions

  • NOTE: Specific indications, contraindications, warnings, precautions and safety information exist for KCI products and therapies. Please consult a physician and product instructions for use prior to application. This information is intended for healthcare professionals. Rx Only.

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  • References

    1. Cvach MM, Biggs M, Rothwell KJ, Charles-Hudson C. Daily electrode change and effect on cardiac monitor alarms: an evidence-based practice approach. J Nurs Care Qual. 2013;28:265-271.
    2. Drew BJ, Harris P, Zegre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. PloS One. 2014; 9(10): e110274.
    3. Bonafide CP, Localio AR, Holmes JH, et al. Video analysis of factors associated with response time to physiologic monitor alarms in a children’s hospital. JAMA Pediatr. 2017; 171(6): 524-531.
    4. Shu-Hui, Y., Li-Na, L., Tien-Hui, H., Ming-Chu, C., & Li-Wei, L. (2004). Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. International Journal of Nursing Studies, 41, 255-262.
    5. Cox J, Roche, S and Murphy V. (2018). Pressure Injury Risk Factors in Critical Care Patients: A Descriptive Analysis. Adv Skin & Wound Car,. 31(7): 328-334.
    6. Zhan C, Miller MR. Excess Length of Stay, Charges, and Mortality Attributable to Medical Injuries During Hospitalization. JAMA. 2003 October 8; 290(14): 1868-74.
    7. Apelqvist J, Armstrong DG, Lavery LA, et al. Resourc utilization and economic costs of care based on a randomized trial of vacuum-assisted closure therapy in the treatment of diabetic foot wounds. Am J Surg. 2008; 195 (5): 782-8.
    8. Lavery LA, Boulton AJ, Niezgoda JA, et al. A comparison of diabetic foot ulcer outcomes using negative pressure would therapy versus historical standard of care.International Wound Journal. 2007; 4(2): 103-13.
    9. Schwien T, Gilbert J, Lang C. Pressure ulcer prevalence and the role of negative pressure wound therapy in home health quality outcomes. Ostomy Wound Manage. 2005; 51(9): 47-60.
    10. Vuerstaek JD, Vainas T, Wuite J, et al. State-of-the-art treatment of chronic leg ulcers: A randomized controlled trial comparing vacuum-assisted closure (V.A.C.) with modern wound dressings. J Vasc Surg. 2006; 44: 1029-38.
    11. Scherer LA, Shiver S, Chang M, et al. The vacuum assisted closure device. A method of securing skin grafts and improving graft survival. Archives of Surgery. 2002 Aug;137 (8): 930-934.
    12. Gabriel A, Rauen B, Simplified Negative Pressure Wound Therapy with Instillation: Advances and Recommendations. Plast Surg Nurs 2014;34(2):88-92.

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