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Kidney Week

Abstract: PO1350

Catheter Care in a Hemodialysis Unit: "Do It Daily," a Multimodal Patient Education Approach

Session Information

  • Vascular Access
    October 22, 2020 | Location: On-Demand
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 704 Dialysis: Vascular Access

Author

  • Dhruve, Miten, Michael Garron Hospital Foundation, Toronto, Ontario, Canada
Background

Central venous catheters or CVLs are the leading cause of mortality and morbidity in the dialysis population. The HDU personnel wanted to empower the patients to manage and care for their catheters. We developed a standardized educational framework in collaboration with healthcare professionals and the Patient Experience Panel.
Objectives: Our ultimate goal was to reduce the rates of catheter infections in our hemodialysis unit by improving patient's knowledge, confidence, and skills related to catheter self-care. Our immediate goal was to improve patients’ catheter care knowledge and skills and to standardize and optimize nursing skills and knowledge

Methods

The patients were given a pre-education survey to establish baseline knowledge, attitudes and skill levels. Educational materials were developed based on the patients’ feedback, knowledge and needs, and also on practice guidelines and best practice recommendations from CDC, KDIGO, and ORN. Nursing education involved updating nursing policies, and a nursing catheter care certification program. Educational materials included a video, posters, pamphlets and fridge magnets using the catchphrase “Do it Daily”. The acronym “DAILY” represents the following: D for “dressing, soiled wet or damaged”, A for “any rash, itching or broken skin, I for “increased pain at catheter site , L for “length of catheter changed” and Y for “you have redness, pus, fever”. Post education surveys were conducted to assess the patients’ knowledge and skill levels.

Results

Thirty-three patients completed baseline surveys, education programs and post education surveys.
No significant difference in proportion of patients answering yes to Knowledge or Skill assessment pre- and post-education survey. Although, there was a trend of patients stating they had received enough teaching about catheter care, knew how to keep catheter clean and dry, recognize complications and not adjust catheter by themselves. Eighty-nine percent of patients found the education/training easy to understand.

Conclusion

Use of Multi-Modal patient education material is an easy to understand and feasible tool to help patients understand proper care of their dialysis catheters.