I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting

Abstract

Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.

CE: Evidence-Based Practice for Peripheral Intravenous Catheter Management

“…Tools such as the I-DECIDED iv assessment and decision tool, developed and validated in a multisite study, can help nurses at the bedside make an informed assessment, using a logical, evidence-based approach (see Figure 1). 9,40,41 Assessment begins with identifying the presence of a device by asking the patient if they have an iv catheter, checking the patient's extremities, and confirming that the PIVC has been noted in the patient's electronic health record (EHR). Always make sure PIVCs are properly documented ( insertion date, time, site, gauge, reason for initial insertion, reason for continued use of the device, ongoing site assessment) so none are missed.…”

“…Tools such as the I-DECIDED IV assessment and decision tool, developed and validated in a multisite study, can help nurses at the bedside make an informed assessment, using a logical, evidence-based approach (see Figure 1). 9, 40, 41…”