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SCRUB THE HUB.pptx

Scrubbing the hub of an intravenous catheter is important to prevent catheter-related infections. It involves rubbing the hub hard with an alcohol swab for 15 seconds using a twisting motion before and after accessing the catheter. A study at Johns Hopkins found scrubbing for 15 seconds was more effective at decontamination than 5 seconds. The procedure for scrubbing the hub involves hand washing, wearing gloves, using a 70% alcohol swab, scrubbing for 15 seconds with a twisting motion on the stopper top and before any medication or blood is withdrawn, scrubbing again after, and changing the stopper before discarding gloves. Scrubbing the hub helps get rid of contamination and maintain sterility and catheter patency to avoid infections.

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Presented by SN Jennifer Asha, Infection Control Link Nurse from Hospital Sungai Buloh.

Defines 'Scrub The Hub' as a cleaning process crucial for sterility, aims to prevent catheter-related infections.

Evidence from Johns Hopkins shows that scrubbing with 70% isopropyl alcohol for 15 seconds is effective.

Details the step-by-step procedure for scrubbing the hub: hand wash, glove use, and scrubbing technique.

Emphasizes the significance of maintaining invasive line hygiene for better patient outcomes and contributions.

Lists various references including studies and databases related to catheter-related infections.

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By SN Jennifer Asha Infection control Link Nurse Intensive care unit Hospital Sungai Buloh
Definition of Scrub The Hub Scrub : Rub hard so as to clean them, typically with a brush and water. Hub : its refers to the end of the invasive catheter that connects to the blood lines or cap.
SCRUB THE HUB IS VERY IMPORTANT WHY ???
Importance Of Scrub The Hub Get rid of contamination HUB Maintain the sterility patency. To avoid from catheter related infection
How To Scrub The Hub SQUEEZE LIKE LEMON DURATION SCRUB THE HUB 15 SECONDS
Evidence Based Practice Study at Johns Hopkins reveals decontamination effectiveness of 70% isopropyl alcohol scrub for 5 seconds versus 15 seconds. ( Lockman, heitmiller, Ascenzi and Berkowitz, 2011, Scrub The Hub! Catheter needleled port decontamination)
Procedure : Scrub The Hub Hand Wash Wear Gloves Use Alcohol Swab 70% Scrub The Hub 15 Seconds ON THE TOP OF STOPPER Twisting Motion Scrub The Hub 15 Seconds BEFORE GIVE MEDICATION OR WITHDRAW BLOOD Give Medication Or Withdraw Blood SCRUB THE HUB AGAIN AFTER PROCEDURE CHANGE STOPPER DISCARD GLOVES
SAVE MY INVASIVE LINES
For today… Celebrate your contributions ~ YOUR CONTRIBUTION improve patients outcomes!
References • Centers for Disease Control and Prevention • Oxford Dictionary , 2019 • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093967/ • CRBSI DATABASE FROM INFECTION CONTROL HOSP SUNGAI BULOH • National Nosocomial Infections Surveillance (NNIS) System report, data summary from January 1990-May 1999, issued June 1999. Am J InfectControl. 1999;27:520–32. • Lorente L, Henry C, Martin MM, Jimenez A, Mora ML. Central venous catheter-related infection in a prospective and observational study of 2595 catheters. • Pawar M, Mehta Y, Kapoor P, Sharma J, Gupta A, Trehan N. Central venous catheter-related blood stream infections:incidence, risk factors, outcome, and associated pathogens. J Cardiothorac Vasc Anesth. 2004;18:304–8
SCRUB THE HUB.pptx

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SCRUB THE HUB.pptx

  • 1.
    By SN Jennifer Asha Infectioncontrol Link Nurse Intensive care unit Hospital Sungai Buloh
  • 2.
    Definition of ScrubThe Hub Scrub : Rub hard so as to clean them, typically with a brush and water. Hub : its refers to the end of the invasive catheter that connects to the blood lines or cap.
  • 3.
    SCRUB THE HUBIS VERY IMPORTANT WHY ???
  • 4.
    Importance Of ScrubThe Hub Get rid of contamination HUB Maintain the sterility patency. To avoid from catheter related infection
  • 5.
    How To ScrubThe Hub SQUEEZE LIKE LEMON DURATION SCRUB THE HUB 15 SECONDS
  • 6.
    Evidence Based Practice Studyat Johns Hopkins reveals decontamination effectiveness of 70% isopropyl alcohol scrub for 5 seconds versus 15 seconds. ( Lockman, heitmiller, Ascenzi and Berkowitz, 2011, Scrub The Hub! Catheter needleled port decontamination)
  • 7.
    Procedure : ScrubThe Hub Hand Wash Wear Gloves Use Alcohol Swab 70% Scrub The Hub 15 Seconds ON THE TOP OF STOPPER Twisting Motion Scrub The Hub 15 Seconds BEFORE GIVE MEDICATION OR WITHDRAW BLOOD Give Medication Or Withdraw Blood SCRUB THE HUB AGAIN AFTER PROCEDURE CHANGE STOPPER DISCARD GLOVES
  • 8.
  • 10.
    For today… Celebrate yourcontributions ~ YOUR CONTRIBUTION improve patients outcomes!
  • 11.
    References • Centers forDisease Control and Prevention • Oxford Dictionary , 2019 • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093967/ • CRBSI DATABASE FROM INFECTION CONTROL HOSP SUNGAI BULOH • National Nosocomial Infections Surveillance (NNIS) System report, data summary from January 1990-May 1999, issued June 1999. Am J InfectControl. 1999;27:520–32. • Lorente L, Henry C, Martin MM, Jimenez A, Mora ML. Central venous catheter-related infection in a prospective and observational study of 2595 catheters. • Pawar M, Mehta Y, Kapoor P, Sharma J, Gupta A, Trehan N. Central venous catheter-related blood stream infections:incidence, risk factors, outcome, and associated pathogens. J Cardiothorac Vasc Anesth. 2004;18:304–8