Routine vs. Clinically Indicated Peripherally Inserted Intravenous Catheter Changes
|
|
- Margaret Gibson
- 6 years ago
- Views:
Transcription
1 Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Routine vs. Clinically Indicated Peripherally Inserted Intravenous Catheter Changes Juliet Hahn BSN, RN Lehigh Valley Health Network, juliet_t.hahn@lvhn.org Zinah Heisel BSN, RN Lehigh Valley Health Network, zinah_b.heisel@lvhn.org Devin Pond BSN. RN Lehigh Valley Health Network, devin_m.pond@lvhn.org Follow this and additional works at: Part of the Nursing Commons Published In/Presented At Hahn, J., Heisel, Z., & Pond, D. (2015, October 28). Routine vs. Clinically Indicated Peripherally Inserted Intravenous Catheter Changes. Poster presented at LVHN UHC/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA. This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org.
2 Routine vs. Clinically Indicated Peripherally Inserted Intravenous Catheter Changes Juliet Hahn, TNICU RN Zinah Heisel, TNICU RN Devin Pond TNICU RN
3 Background/Significance Purpose: To compare the rates of phlebitis and infection rates of peripherally inserted intravenous catheters that are changed when clinically indicated rather than routinely (every 72 hours) When talking to nurses: Many times after a thorough IV site assessment a pt s IV will be patent with blood return after 72 hours, as per hospital policy the IV will be removed and the pt will have a new IV placed only to no longer need the IV in another 24 hours. Pt s that are difficult sticks may require up to 4 attempts before obtaining a new IV. Extending the usage of a usable IV could save patients the discomfort of multiple IV placement attempts.
4 PICO QUESTION In ICU patients, how do phlebitis and infection rates compare when peripherally inserted IV s are changed routinely versus when clinically indicated? P: ICU patients with peripheral IVs I: Clinically indicated peripheral IV changes C: Routine peripheral IV changes O: Rates of infection and phlebitis
5 TRIGGER? Problem Focused Trigger Reported frustration of nurses with frequent IV changes Insufficient evidence to support routinely changing IV s every 72 hours Increased cost Decreased patient satisfaction
6 EVIDENCE Search Engines: EBSCOhost Research database, CINAHL, Medline, Cochrane Database of Systematic Reviews Key Words: Clinically indicated replacement vs. Catheter removal; Peripherally inserted catheter; Catheter removal and peripherally inserted central catheter; Catheter related infections or catheter related blood stream infections or catheter related complications or catheter related thrombosis and catheter related infections/pc and Treatment outcomes or nursing outcomes See attached evidence table and following slides for more information
7 EVIDENCE Decreased or equal rates of phlebitis Phlebitis occurred in 7% of patients with both clinically replaced IVs and routinely replaced IVs Peripheral venous thrombophlebitis developed in 11/26 patients in the control group and 1/21 patients in the study group (P = 0.003). Independent of study group, the rate of phlebitis and/or occlusion at 96 hours was 23.4% (74 of 316 IVs), which was identical to the rate of phlebitis and/or occlusion associated with the 111 IVs used beyond 96 hours. No significant difference in phlebitis or infiltration rates in the intervention group(38%) compared with the control group(33%). When the analysis was based on failure per 1000 device days (number of failures divided by number of days catheterised, divided by 1000), no difference could be detected between the groups. The rate of phlebitis in both groups was low (4% in intervention group, 3% in control group). Decreased or equal rates on infection No significant difference between CRBSI rate. No IVD related blood stream infections in either groups
8 EVIDENCE Decreased costs More IVDs placed per patient in the control or the routinely changed PIV group, with higher hospital costs per patient Cost of cannula replacements in the control group AUD$3, and in the intervention group was AUD$3, Infusion related costs were higher in the control group (mean $A41.02) than intervention group ($A36.40). Increased patient satisfaction Decreased replacements (decreased sticks) of PIV Overall decreased or equal complication rates IVD complication rates 68 per 1,000 IVD days for clinically indicated replacement and 66 per 1,000 IVD days for routine replacement A thorough assessment and maintenance of PIVs can save a nurse more time in the long run!
9 Current Practice at LVHN "Peripheral short catheters sites should be changed every 72 hours in the adult population. Catheters placed in pre-hospital or institutions other than LVH Facilities are to be replaced within 24 hours of admission unless contraindicated. (Infusion Nursing Standard Practice Jan/Feb pp. S51)."
10 IMPLEMENTATION (outline) 1. Process Indicators and Outcomes 2. Baseline Data 3. Design (EBP) Guideline(s)/Process 4. Implemented EBP on Pilot Units 5. Evaluation (Post data) of Process & Outcomes 6. Modifications to the Practice Guideline 7. Network Implementation
11 IMPLEMENTATION 1. Indicators and Outcomes Indicators: Adverse Affects of Routine vs. Clinically Indicated IV Changes Patient Satisfaction of PIV Insertion and Replacements Outcome Measurements: Patient Satisfaction Time Saved Cost Efficiency
12 IMPLEMENTATION (cont.) 2. Baseline Data Obtained In TNICU Approximately 90% of patients have a PIV at some point during stay on unit. Approximately 65% keep PIV throughout stay in hospital Patient X hospitalized 90 days Total IV s 39 ( 3 IV s pulled prior to 72hrs) Estimated PIV s needed for 72 hour changes =30 Estimated PIV s needed for 95 hour changes =23 Average estimated cost per PIV insertion placed on initial attempt $ Estimated saving if PIV use extended to 96 hours ( 7 less PIV s) $ According to U.S. News and World Report LVH-CC had 44,853 admissions in With an average estimated cost of $41.00 per PIV insertion, if obtained on the initial attempt. If PIV usage was extended to 96 hours and each admission had one less PIV s and estimated $1,838,973 would be saved in one year.
13 EBP Guidelines/Process Change Assessment of Peripheral I.V. at least every 4 hours No Infiltration No Extravasation No Infection Continue to reassess site every 4 hours up to 96 hours
14 IMPLEMENTATION (cont.) 4. Implemented EBP on Pilot Units Project approval denied by Infectious Disease therefore unable to implement on TNICU 5. Evaluation (Post data) of Process & Outcomes Not applicable Theoretically, based on research data no change or increase in infection and phlebitis rates when PIV s are changed routinely as current policy dictates versus when clinically indicated per research 6. Modifications to the Practice Guideline None at this time 7. Network Implementation Continue to research data on PIV maintenance and suggested replacement times to present to Infectious Disease
15 RESULTS Theoretically, based on research data no change or increase in infection and phlebitis rates when PIV s are changed routinely as current policy dictates versus when clinically indicated per research
16 Implications for LVHN This project has the potential to increase patient satisfaction, decrease hospital costs, and continue to maintain safety for patients in terms of infection and phlebitis rates related to PIV s
17 Lessons Learned Ample research and data is needed in order to obtain approval for changes in hospital policy It is difficult to change a policy that was implemented due to past safety issues Previously, there were rises in infection and phlebitis rates related to PIV s that were not changed routinely In order to implement change within the hospital, teamwork and cooperation are needed among multiple interdisciplinary groups
18 References Aziz, A. (2009). Improving peripheral IV cannula care: implementing high-impact interventions. British Journal of Nursing, 18(20), Barker, P., Anderson, A. G., & MacFie, J. (2004). Randomised clinical trial of elective re-siting of intravenous cannulae. Annals Of The Royal College Of Surgeons Of England, 86(4), Dychter, S., Gold, D., Carson, D., & Haller, M. (2012). Intravenous Therapy: A review of complications and economic considerations of peripheral access. Journal of Infusion Nursing, 35(2), Nishanth, S., Sivaram, G., Kalayarasan, R., Kate, V., & Ananthakrishnan, N. (2009). Does elective re-siting of intravenous cannulae decrease peripheral thrombophlebitis? A randomized controlled study. The National Medical Journal Of India, 22(2), Rickard, C., McCann, D., Munnings, J., & McGrail, M. (2010). Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicates resite: a randomised controlled trial. BMC Medicine, 8(53). Rickard, C., Webster, J., Wallis, M., Marsh, N., McGrail, M., French, V., &... Whitby, M. (2012). Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Lancet, 380(9847), Salgueiro-Oliveira, A, Parreira, P, & Veiga, P. (2012). Incidence of phlebitis in patients with peripheral intravenous catheters: The influence of some risk factors. Australian Journal of Advanced Nursing, 30(2), Van Donk P, Rickard CM, McGrail MR, Doolan G. (2009). Routine replacement versus clinical monitoring of peripheral intravenous catheters in a regional hospital in the home program: a randomized controlled trial. Infection Control and Hospital Epidemiology, 30(9): Webster, J., Clarke, S., Paterson, D., Hutton, A., van Dyk, S., Gale, C., & Hopkins, T. (2008). Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ (Clinical Research Ed.), Webster, J., Lloyd, S., Hopkins, T., Osborne, S., & Yaxley, M. (2007). Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients. International Journal Of Nursing Studies, 44(5), Webster, J., Osborne, S., Rickard, C., & New, K. (2013). Clinically indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database Of Systematic Reviews, (4).
19 Make It Happen Questions or comments may be directed to: Juliet Hahn Zinah Heisel Devin Pond TNICU
New research: Change peripheral intravenous catheters only as clinically
Content page New research: Change peripheral intravenous catheters only as clinically indicated, not routinely. The results of a nurse led and nationally funded multicentre, randomised equivalence trial
More informationImplementing a Nurse Shadowing Program for Medical Residents
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Implementing a Nurse Shadowing Program for Medical Residents Maria Fiore BSN,RN Lehigh Valley Health Network Tara Getz
More informationThe High Risk Hospitalized Antepartum Patient Project
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing The High Risk Hospitalized Antepartum Patient Project Janice Bartolai BSN, RN Lehigh Valley Health Network Alyssa Hischak
More informationDietary Restrictions for Neutropenic Patients
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Dietary Restrictions for Neutropenic Patients Stephanie Baunach BSN, RN Lehigh Valley Health Network Amanda Bodnar BSN,
More informationBedside Shift Handoff
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Bedside Shift Handoff Amelia Bard BSN, RN Lehigh Valley Health Network Tyler McLean BSN, RN Lehigh Valley Health Network
More informationDecreasing Interruptions in MED Administration
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Decreasing Interruptions in MED Administration Jessica Carlson BSN, RN Lehigh Valley Health Network Leah Compton BSN, RN
More informationEvidence Based Practice Template: Rotating PIV Sites in Adults
Professional Nursing Staff Organization Evidence Based Practice Template: Rotating PIV Sites in Adults Statement of problem/issue: Rotation of peripheral intravenous catheter sites in the adult population
More informationCost-effectiveness analysis of clinically-indicated versus routine replacement of peripheral intravenous catheters
Cost-effectiveness analysis of clinically-indicated versus routine replacement of peripheral intravenous catheters Author Tuffaha, Haitham, Rickard, Claire, Webster, Joan, Marsh, Nicole, Gordon, Louisa,
More informationDEVELOPMENT OF A DIFFICULT VENOUS ACCESS PATHWAY
DEVELOPMENT OF A DIFFICULT VENOUS ACCESS PATHWAY Disclosure Research has previously been supported by competitive government, university and unrestricted investigator initiated research/educational grants
More informationFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursing Part of the Nursing Commons
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Alarm Fatigue Amanda Boutin BSN,RN Alexis Clauss BSN, RN Lehigh Valley Health Network, Alexsis_S.Clauss@lvhn.org Follow
More informationPediatric Peripheral IV Access
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Pediatric Peripheral IV Access Kelsey Brault BSN, RN Lehigh Valley Health Network, kelsey_a.brault@lvhn.org Victoria D'Altrui
More informationStandardized Handoff Tool for OR/PACU Nurses
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Standardized Handoff Tool for OR/PACU Nurses Rachel Dunkle BSN, RN Lehigh Valley Health Network Brittany Kroboth BSN, RN
More informationNurses' Knowledge and Attitudes about Pain in Hospitalized Patient
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Nurses' Knowledge and Attitudes about Pain in Hospitalized Patient Catherine Morrow BSN, RN Lehigh Valley Health Network
More informationHallway Patient Satisfaction
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Hallway Patient Satisfaction Donald Hoff BSN, RN Lehigh Valley Health Network, Donald_S.Hoff@lvhn.org Shelbi McGraw BSN,RN
More informationAlarm Fatigue In The Emergency Room Setting
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Alarm Fatigue In The Emergency Room Setting Justin Dickinson Lehigh Valley Health Network, justin.dickinson@lvhn.org Jocelle
More informationFollow this and additional works at: Part of the Nursing Commons
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing TSU Bowel Protocol Megan Anderson BSN, RN Lehigh Valley Health Network Alison Bahnick BSN, RN Lehigh Valley Health Network
More informationObjectives 31/07/2014. Peripheral IV Catheters: If clinically indicated replacement doesn t work, what will? Financial Disclosures
Peripheral IV Catheters: If clinically indicated replacement doesn t work, what will? Professor Dr Claire Rickard RN PhD Australian Vascular Access Teaching and Research (AVATAR) Group 3M Leadership Summit,
More informationReducing Fever and Improving Outcomes In The Neurologically Compromised Patient
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Reducing Fever and Improving Outcomes In The Neurologically Compromised Patient Rachel Gross RN Lehigh Valley Health Network,
More informationOral Nutritional Supplements and Nursing Documentation
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Oral Nutritional Supplements and Nursing Documentation Seana Rivera BSN, RN Lehigh Valley Health Network Rachel Tallarico
More informationPeripheral intravenous catheter performance: investigating peripheral intravenous catheter dwell times
Peripheral intravenous catheter performance: investigating peripheral intravenous catheter dwell times Fourie A, RN, Certificate Wound Care (UOFS) Certificate Wound Management (UK), International Interdisciplinary
More informationEarly Progressive Mobility- Letting Go of Bedrest
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Early Progressive Mobility- Letting Go of Bedrest Jacqueline Clapp BSN, RN Lehigh Valley Health Network Holly Leighton
More informationNurse-Controlled Analgesia
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Nurse-Controlled Analgesia Courtney Bloss BSN, RN Lehigh Valley Health Network Alyssa Boyd BSN, RN Lehigh Valley Health
More informationIdentifying Risk Factors for High Incidence of Peripheral Intravenous Catheters Complications: Reducing Infiltration Rate within the Hospital
Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 Identifying Risk Factors for High Incidence of Peripheral Intravenous
More informationHelping Nurses Cope with Patient Death
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Helping Nurses Cope with Patient Death Courtney Yankelitis BSN, RN Lehigh Valley Health Network, Courtne_L.Yankelitis@lvhn.org
More informationBreaking Down the Braden
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Breaking Down the Braden Lauren Jurbala BSN, RN Lehigh Valley Health Network, Lauren_M.Jurbala@lvhn.org Snezhana Neshkova
More informationMed Effects Scripting and HCAHPS Scores
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Med Effects Scripting and HCAHPS Scores Jacklyn Gibat BSN, RN Lehigh Valley Health Network Madelyn Glick BSN, RN Lehigh
More informationTitle: Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial
Title: Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial Short Title: Risk factors for PIVC failure Authors: *Marianne C Wallis,
More informationIMPLEMENTATION OF A DIFFICULT VENOUS ACCESS (DiVa) PATHWAY
IMPLEMENTATION OF A DIFFICULT VENOUS ACCESS (DiVa) PATHWAY Evan Alexandrou RN MPH PhD Clinical Nurse Consultant, Central Venous Access Service Liverpool Hospital Senior Lecturer Western Sydney University
More informationHeather Galang, MSN, RN-BC, CNL Erica Lewis, PhD, RN DNP National Conference New Orleans, LA September 13, 2017
Pilot of a Randomized Trial Comparing Outcomes of Three Types of Peripheral Intravenous Catheters (PIVC): Utilizing the Plan, Do, Study, Act (PDSA) Cycle Heather Galang, MSN, RN-BC, CNL Erica Lewis, PhD,
More informationReview of Toileting Related Fall Data and Proposed Toileting Plan on TSU An Evidence based Practice Project
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Review of Toileting Related Fall Data and Proposed Toileting Plan on TSU An Evidence based Practice Project Denise Estephan
More informationManaging NAS Scores with Non-Pharmacological Measures
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Managing NAS Scores with Non-Pharmacological Measures Katie Gehringer BSN, RN Lehigh Valley Health Network Jessica Weiss
More informationIntravascular device use, management, documentation and complications: A point prevalence survey
Intravascular device use, management, documentation and complications: A point prevalence survey Author New, Karen, Webster, Joan, Marsh, Nicole, Hewer, Barbara Published 2014 Journal Title Australian
More informationIV 03 CRAIG HOSPITAL POLICY/PROCEDURE
CRAIG HOSPITAL POLICY/PROCEDURE Approved: NPC, P&P 12/06; P&T 2/07; Effective Date: 10/78 IC, MEC 03/07; NPC, P&P 08/09; MEC 9/09 P&T 12/10; MEC, P&P 01/11, 04/11; NPC, P&P 06/12, 06/15, 12/15 ; NPC, P&T,
More information21 st Century Health Care Consultants
21 st Century Health Care Consultants Presents 1 Investing in your Infusion Specialty Program Presented by: Rhonda Surgnier RN Becky Tolson RN David Kachel CRNI INFUSION THERAPY OBJECTIVES 2 At the completion
More informationMeeting the NEW RCN Standards for Infusion Therapy in practice
Meeting the NEW RCN Standards for Infusion Therapy in practice sumanshrestha@nhs.net Suman Shrestha MSc BSc RN Advanced Nurse Practitioner Intensive Care Frimley Park Hospital suman_sr FRIMLEY PARK HOSPITAL
More informationRegistered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework Name: Location: Date commenced: Contents Competency: Page No: Page 1. Core: Introduction Demonstrate knowledge that
More informationMid-line Vascular Access Device Policy (Adults) and Procedures/Guideline
Mid-line Vascular Access Device Policy (Adults) and Procedures/Guideline October 2016 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationRisk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled Trial
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY JANUARY 2014, VOL. 35, NO. 1 ORIGINAL ARTICLE Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled
More informationMisconceptions About Peripheral Intravenous Catheter Complications Rate Based on Insertion Settings: A Comprehensive Literature Review
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationIMPLEMENTING A NURSE-LED COMMUNITY INTRAVENOUS ANTIBIOTIC SERVICE
Art & science The acute district synthesis care nursing of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON IMPLEMENTING A NURSE-LED COMMUNITY INTRAVENOUS ANTIBIOTIC SERVICE
More informationAdopting Best Practice for Infusion Teams
Adopting Best Practice for Infusion Teams Lori Mayer, DNP, MSN, RN Shirley O Leary, APN-BC Elida Grienel, APN-BC Infusion Therapies Nursing professionals have increasing responsibility in managing multiple
More informationA Successful Patient Rounding Redesign: Staff Empowerment Blended With a Research Project
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing A Successful Patient Rounding Redesign: Staff Empowerment Blended With a Research Project Jody Shigo RN, CMSRN Lehigh Valley
More informationCE Code (Attendee Use Only):
Evan Alexandrou RN MPH PhD Senior Lecturer School of Nursing and Midwifery University of Western Sydney, Australia Clinical Nurse Consultant in Central Venous Access & Parenteral Nutrition - Liverpool
More informationDevelopment of Evidence-based Nursing Practice Guidelines for Peripheral Intravenous Catheter Management in Hospitalized Children and Adult
International Journal of Studies in Nursing; Vol. 3, No. 1; 2018 ISSN 2424-9653 E-ISSN 2529-7317 Published by July Press Development of Evidence-based Nursing Practice Guidelines for Peripheral Intravenous
More informationPediatric Early Warning Score (PEWS)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Pediatric Early Warning Score (PEWS) Emily Keim BSN, RN Lehigh Valley Health Network Jennifer Senske BSN, RN Lehigh Valley
More informationBRINGING THE PERIPHERY INTO FOCUS
BRINGING THE PERIPHERY INTO FOCUS RISKS ASSOCIATED WITH PERIPHERAL IVS Russ Olmsted, MPH, CIC, FAPIC Director, Infection Prevention & Control; Trinity Health, Livonia, MI This educational activity is brought
More informationRESEARCH. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial
Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial Joan Webster, nursing director, research; adjunct professor, 1,2 Samantha Clarke, clinical
More informationAdvancing IV Therapy: national update and developments
Advancing IV Therapy: national update and developments Dr Lisa Dougherty Nurse Consultant IV Therapy 1 2 Aim of Session To provide an overview of how new technologies, techniques and roles have improved
More informationCare Transition Coach
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Care Transition Coach Marlene Seidel Butz Lehigh Valley Health Network, Marlene.Butz@lvhn.org Follow this and additional
More informationCentral Venous Access Devices (CVADs)
Contents Purpose... 1 Policy... 1 Scope... 2 Associated documents... 2 1 Insertion of CVADs... 2 2 Endorsement/Certification... 2 3 Procedural Considerations... 3 3.1 Checking and Identification requirements...
More informationF E B R U A R Y 2 8, S C O T T F L A N D E R S, M D V I N E E T C H O P R A, M D
PICC Tier 1 Interventions Webinar F E B R U A R Y 2 8, 2 0 1 7 S C O T T F L A N D E R S, M D V I N E E T C H O P R A, M D Agenda HMS Performance & 2- Tiered Approach (5 minutes) Review PICC Tier 1 Interventions
More informationPainful Infusions of Potassium A Potassium Protocol. Eve Holderman, BSN, RN, CPAN October 21, 2017 NYSPANA State Conference
Painful Infusions of Potassium A Potassium Protocol Eve Holderman, BSN, RN, CPAN October 21, 2017 NYSPANA State Conference Objective To identify strategies for intervention when the patient experiences
More informationFalls in the Emergency Department (ADULT)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Falls in the Emergency Department (ADULT) Katherine Andia BSN, RN Lehigh Valley Health Network Emily Joyce Lehigh Valley
More informationEvaluating the Use of a Topical Vapocoolant to Reduce Pain during Intravenous Insertions: The Patients' and Nurses' Perspectives
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationThe European working time directive (EWTD) is
Iv therapy supplement A pilot intravenous cannulation team: an Irish perspective Peter J Carr, Ronan W Glynn, Brendan Dineen, Thomas JB Kropmans The European working time directive (EWTD) is European law
More informationGayle Kay Coulter, RN, CRNI, VA-BC
P.O. Box 8649, Clearwater, FL 33758 Telephone: (727) 446-5825 legal@infusionknowledge.com CURRICULUM VITAE Career History 2001 - Present INFUSION KNOWLEDGE, INC, CLEARWATER, FL Owner / Executive Director
More informationPeripherally Inserted Central Catheter
UW MEDICINE PATIENT EDUCATION Peripherally Inserted Central Catheter Understanding your PICC procedure and consent form Please read this handout before reading and signing the form Special Consent for
More informationTotally Implantable Venous Access Devices (port) Information for patients. Cross section of a port
Cystic Fibrosis Unit, Ward 26 0121 424 2000 Information for Patients Totally Implantable Venous Access Devices (port) Information for patients This leaflet tells you about the procedures for Totally Implantable
More informationObjectives. Vessel Health and Preservation: Disclosure. Ms. Moureau has disclosed the following: Angiodynamics, Genentech
Vessel Health and Preservation: What is the Right Line for the Right Patient at the Right Time? Nancy Moureau, BSN, RN, CRNI, CPUI, VA-BC This program is sponsored by Teleflex Saxe Communications 2012
More informationEffectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol
Effectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol Helena Hansson 1 Anne Brødsgaard 2 1 Department of Paediatric
More informationAdministration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date
More informationThe Role of Ambulatory Nursing Leadership in Mammogram Screening
Lehigh Valley Health Network LVHN Scholarly Works Department of Education The Role of Ambulatory Nursing Leadership in Mammogram Screening Sarah D. Creswell BS, RN-BC Lehigh Valley Health Network, Sarah_D.Creswell@lvhn.org
More informationPeripherally inserted central catheter (PICC line) Information to accompany consent
Peripherally inserted central catheter (PICC line) Information to accompany consent Exceptional healthcare, personally delivered What is a PICC line? PICC stands for peripherally inserted central venous
More informationPICCs. Vascular access is the cornerstone in the. It s all about. Vascular safety:
Vascular safety: It s all about PICCs Optimal catheter and vein selection prove vital to patient safety initiatives. By Nancy Moureau, CRNI, BSN Practice challenges Special Vascular access is the cornerstone
More informationCentral Venous Access Devices (CVAD) Procedures
SH CP 138 Central Venous Access Devices (CVAD) Procedures (e.g. Peripherally Inserted Central Catheter ( PICC lines) and Skin Tunnelled Central lines) Version:2 Summary: Keywords (minimum of 5): (To assist
More informationChapter 39. Nurse Staffing, Models of Care Delivery, and Interventions
Chapter 39. Nurse Staffing, Models of Care Delivery, and Interventions Jean Ann Seago, Ph.D., RN University of California, San Francisco School of Nursing Background Unlike the work of physicians, the
More informationEvidence-Based Practice Pulling the pieces together. Lynette Savage, RN, PhD, COI March 2017
Evidence-Based Practice Pulling the pieces together Lynette Savage, RN, PhD, COI March 2017 Learning Objectives Delineate the differences between Quality Improvement (QI), Evidence Based Practice (EBP),
More informationValue-Based Medicine: The Financial Impact of a Pressure Ulcer Prevention Program on a Trauma Population
Lehigh Valley Health Network LVHN Scholarly Works Department of Surgery Value-Based Medicine: The Financial Impact of a Pressure Ulcer Prevention Program on a Trauma Population Jayme D. Lieberman MD Lehigh
More informationLessons From Infection Prevention Research in Emergency Medicine: Methods and Outcomes
Lessons From Infection Prevention Research in Emergency Medicine: Methods and Outcomes Patricia W. Stone, PhD, RN FAAN Centennial Professor in Health Policy Director PhD Program and Director Center for
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS)
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS) STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 04/91 5/05, 3/08 DEPARTMENTAL
More informationPeripherally Inserted Central Catheter (PICC)
Peripherally Inserted Central Catheter (PICC) Intravenous Therapy Patient information leaflet What is a PICC? A PICC is a very fine flexible tube measuring 50 60 cm in length. It is placed in a vein in
More informationSeattle Nursing Research Consortium Abstract Style and Reference Guide
Seattle Nursing Research Consortium Abstract Style and Reference Guide Page 1 SNRC Revised 7/2015 Table of Contents Content Page How to classify your Project. 3 Research Abstract Guidelines 4 Research
More informationPeripheral IVs: THINK BIG. LOOK SMALL. Michelle DeVries MPH, CIC. Senior Infection Control Officer Methodist Hospitals Gary, Indiana
Peripheral IVs: THINK BIG. LOOK SMALL. Michelle DeVries MPH, CIC Senior Infection Control Officer Methodist Hospitals Gary, Indiana Michelle DeVries is a paid consultant of Ethicon US, LLC. This promotional
More informationHow Do We Choose Optimal PIV Sites? Objectives. Good Vein, Bad Vein NIR & Choosing the Best IV Access Site. INS Site Choice Advice Key Points
Good Vein, Bad Vein NIR & Choosing the Best IV Access Site Greg Schears, MD Mayo Clinic, Rochester, MN Objectives Identify what is known regarding optimal PIV sites in guidelines and the literature Discuss
More informationReducing Infection Risks Related to Vascular Access Devices: Competency and Training
Reducing Infection Risks Related to Vascular Access Devices: A Focus on Personnel Competency and Training Lynn Hadaway, M.Ed., RN, BC, CRNI Lynn Hadaway Associates, Inc. Milner, Georgia 1 You can submit
More informationPreventing ICU Complications. Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care
Preventing ICU Complications Lee-lynn Chen, MD Assistant Clinical Professor UCSF Department of Anesthesia and Perioperative Care Overview Catheter related bloodstream infection Ventilator associated pneumonia
More informationAccreditation Program: Long Term Care
ccreditation Program: Long Term are National Patient Safety Goals indicates scoring category ; indicates scoring category ; indicates situational decision rules apply; indicates 2009 The Joint ommission
More informationUnderstanding the Legal System and Infusion Nurse Liability
Understanding the Legal System and Infusion Nurse Liability Infusion Nurse Society Annual Conference May 18, 2013 Presented by Jan Haedt, RN, BS, CPHRM Sr. Risk Management Consultant University of Wisconsin
More informationTechnology Innovations in Vascular Access
Technology Innovations in Vascular Access Nancy Moureau, BSN, CRNI PICC Excellence, Inc. nancy@piccexcellence.com Introduction My experience RN for 35 years PICC Instructor and inserter 26 years As a trainer
More informationTranslating Evidence to Safer Care
Translating Evidence to Safer Care Patient Safety Research Introductory Course Session 7 Albert W Wu, MD, MPH Former Senior Adviser, WHO Professor of Health Policy & Management, Johns Hopkins Bloomberg
More informationThe School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT
The School Of Nursing And Midwifery. BMedSci Nursing (Adult) CLINICAL SKILLS PASSPORT Student Details NAME: COHORT: I understand that this booklet may be reviewed by my mentor, the programme leader, my
More informationEvidence-Based Practice
Evidence-Based Practice R O S E L. H O F F M A N N P H D, R N A S S I S T A N T P R O F E S S O R U N I V E R S I T Y O F P I T T S B U R G H S C H O O L O F N U R S I N G S E P T E M B E R 2 1, 2 0 1
More informationLimitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment
Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment Information posted January 8, 2007 Effective for dates of service on or after March 1, 2007, benefit limitations
More informationFlinders Model for Chronic Disease Management and Utilization by Home Care
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Flinders Model for Chronic Disease Management and Utilization by Home Care Krista Hirschmann PhD Lehigh Valley Health Network,
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationPLACEMENT of an intravenous
Prevention of Peripheral Venous Catheter Complications With an Intravenous Therapy Team A Randomized Controlled Trial ORIGINAL INVESTIGATION Neil E. Soifer, MD; Steven Borzak, MD; Brian R. Edlin, MD; Robert
More informationHospital Acquired Conditions. Tracy Blair MSN, RN
Hospital Acquired Conditions Tracy Blair MSN, RN A hospitalacquired infection (HAI), also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility Hospital
More informationDevices and dressings to secure peripheral venous catheters to prevent complications (Protocol)
Devices and dressings to secure peripheral venous catheters to prevent complications (Protocol) Author M. March, Nicole, Webster, Joan, Rickard, Claire, Mihala, Gabor Published 2014 Journal Title Cochrane
More informationDwelling on Dwell Time - When Is it Time to Remove a Peripheral Intravenous Catheter?
Dwelling on Dwell Time - When Is it Time to Remove a Peripheral Intravenous Catheter? James Davis, MSN RN CCRN CIC HEM Senior Infection Prevention Analyst Pennsylvania Patient Safety Authority and Marcia
More informationCreating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC
More informationAssessing microbial colonization of peripheral intravascular devices
Assessing microbial colonization of peripheral intravascular devices Author Zhang, Li, Marsh, Nicole, R. McGrail, Matthew, Webster, Joan, G. Playford, Elliott, Rickard, Claire Published 2013 Journal Title
More informationM6278 Theory & Research in Applied Science and Nursing. Objectives
M6278 Theory & Research in Applied Science and Nursing Class 1 Spring, 2002 Pat Stone, RN, C, MPH, PhD Objectives 1. Get acquainted 2. Understand expectations of course 3. Understand research competency
More informationReducing IV Infiltrates in the Neonatal Population
The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Spring 5-19-2016 Reducing
More informationFollow this and additional works at: Part of the Nursing Commons
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Med-Surg CHURN Marilyn Guidi Lehigh Valley Health Network, Marilyn.Guidi@lvhn.org Carolyn L. Davidson RN, PhD Lehigh Valley
More informationDISTRICT NURSING and INTERMEDIATE CARE
CLINICAL GUIDELINES DISTRICT NURSING and INTERMEDIATE CARE Schedule of guidelines attached: DNICT03 Community Procedure for the Administration of Intravenous Drugs via Bolus The guidelines scheduled above
More informationM-fhUb~a.2. ~ Feidhmeannacht na Seirbhise Siainte Hea1Ul Service Executive
Feidhmeannacht na Seirbhise Siainte Hea1Ul Service Executive TITLE: Cannula Care Guideline for Nurses and Midwives at Mid-Western Regional Hospital, (MWRH),, Regional Orthopaedic Hospital, Croom and Regional
More informationCERTIFIED NURSING ASSISTANT 6 WEEK TRAINING TECHNICAL PARTNER Classroom Orientation Schedule August 27, 2018
Lehigh Valley Health Network Department of Education, Professional Development CERTIFIED NURSING ASSISTANT 6 WEEK TRAINING TECHNICAL PARTNER Classroom Orientation Schedule August 27, 2018 LVH Program Coordinator:
More informationReferences and Bibliography
References and Bibliography References and Bibliography ANTT Theoretical Framework for Clinical Practice V4.0 2015. Association for Safe Aseptic Practice (ASAP) www.antt.org. BNF (2015) British National
More informationFinal scope for the systematic review of the clinical and cost effectiveness evidence for the prevention of ventilator-associated pneumonia (VAP)
Final scope for the systematic review of the clinical and cost effectiveness evidence for the prevention of ventilator-associated pneumonia (VAP) Contents 1. AIM...2 2. BACKGROUND...2 3. INTERVENTIONS...3
More informationTo Uniform or Not to Uniform? That is the Question
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing To Uniform or Not to Uniform? That is the Question Nicole Hartman MSN, RN Lehigh Valley Health Network, Nicole_M.Hartman@lvhn.org
More information