Direct cost of peripheral catheterization by nurses

Abstract

Objective: To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit. Method: A quantitative, exploratory-descriptive, single-case study, whose sample consisted of the non-participant observation of 101 peripherally inserted central catheter procedures. The cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing professionals, participants in the procedure, by the unit cost of direct labor, added to the cost of materials, drugs, and solutions. Results: The average direct cost of the procedure was US$ 326.95 (standard deviation = US$ 84.47), ranging from US$ 99.03 to US$ 530.71, with a median of US$ 326.17. It was impacted by material costs and the direct labor of the nurses. Conclusion: The measurement of the average direct cost of the peripherally inserted central catheter procedure shed light on the financials of consumed resources, indicating possibilities of intervention aiming to increase efficiency in allocating these resources.

Methods for measuring venous peripherally inserted central catheters in newborns

“…Likewise, another study in a Brazilian NICU showed an average of 3.1 punctures with each procedure (17) . It is reiterated that, when the first puncture is unsuccessful, new attempts or new procedures for catheter insertion are necessary, generating inestimable costs of patient suffering, pain, tissue injuries, exposure to the risk of infection, greater need for analgesics and sedatives and greater investment in professional labor (18) .…”

“…Although the use of technologies requires financial support, it is highlighted that they could impact the reduction of direct costs of inserting PICCs, in addition to reducing the risks and pain of patients, since it would decrease the number of unsuccessful procedures. Therefore, the feasibility for the adoption of technologies, mainly in public services, requires an in-depth study for investments in human resources and equipment, analyzing the cost-benefit for its implementation (18) .…”

Custo Direto Da Inserção De Cateter Venoso Central Para Realização De Hemodiálise Convencional

“…Apesar do custo com materiais ter sido o mais expressivo na composição do CDM total da inserção de passagem de CVC de longa permanência para HD, à semelhança dos resultados de outros estudos sobre custeio de procedimentos hospitalares (27)(28)(29) , reitera-se a contribuição inegável, conforme anteriormente mencionado, da padronização dos insumos a serem utilizados no procedimento. Salienta-se ainda que, pela representatividade dos custos com recursos materiais, as instituições hospitalares, públicas e privadas, precisam realizar investimentos no tocante ao gerenciamento adequado desses recursos, aspecto básico que oferece possibilidade de redução de custos e de prejuízos ao orçamento de saúde nacional (30) .…”

Perfil clínico de neonatos admitidos em uma unidade de terapia intensiva neonatal / Clinical profile of neonates admitted to a neonatal intensive care unit

“…No entanto, o tempo de permanência Brazilian Journal of Development, Curitiba, v.7, n.12, p. 119510-119521 dec. 2021 deste cateter deve ser breve, não sendo recomendado o seu uso por mais de sete dias. Caso seja necessário o uso de cateter venoso central para além desse período, recomenda-se a substituição deste pelo cateter epicutâneo (PICC), uma vez que sua utilização em UTIN vem se mostrando benéfica ao neonatos (LARANJEIRA et al, 2018;PIRES;LIMA, 2019). Tal indicação foi evidenciada em pesquisa, em que o cateterismo epicutâneo foi identificado em maior frequência e permanência do que o cateterismo umbilical nas UTIN (ARAÚJO et al, 2017).…”