Improving peripheral IV cannula care: implementing high-impact interventions

Aziz, Ann-Marie

doi:10.12968/bjon.2009.18.20.45116

Cited by 19 publications

(10 citation statements)

References 10 publications

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“…Anderson, 2013, Ireland [40] Oral abstract presentation. Aziz, 2009, UK [41] Missing outcomes data; no complications or PIVC related infection data provided. Bertoglio, 2017, Italy [8] Review paper; not an intervention study.…”

Section: Implementation Strategiesmentioning

confidence: 99%

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Ray‐Barruel

Marsh

et al. 2019

Infection, Disease & Health

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Background: Evidence-based bundles have reduced central line bloodstream infection rates in adult intensive care units. To tackle peripheral intravenous catheter (PIVC) bloodstream infection, many hospitals have implemented PIVC insertion and maintenance bundles. However, the efficacy of PIVC bundles in preventing PIVC complications and infection in hospital patients is uncertain. The aim of this paper is to synthesize evidence on the effectiveness of PIVC insertion and maintenance bundles on preventing adverse events. Methods: In this systematic review, we searched multiple electronic databases, trial registries, and grey literature for eligible studies published in English (January 2000eDecember 2018) to identify intervention studies evaluating PIVC insertion or maintenance bundles with two or more components. Search terms: peripheral intravenous catheter/cannula, insertion, maintenance, bundle, infection, infiltration, extravasation, dislodgement, thrombosis, occlusion, and phlebitis. Two reviewers independently conducted data extraction and quality assessments using the Downs and Black checklist. Results: Of 14,456 records screened, 13 studies (6 interrupted time-series, 7 before-and-after) were included. Insertion and maintenance bundles included multiple components (2e7 items per bundle). Despite testing different bundles, 12 studies reported reductions in phlebitis and bloodstream infection, and one study reported no change in bloodstream infection and an

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Section: Implementation Strategiesmentioning

confidence: 99%

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Ray‐Barruel

Marsh

et al. 2019

Infection, Disease & Health

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“…After a few supervised insertions, the nurse is expected to insert peripheral IV lines competently and proficiently. Nurses have found this training method unsatisfactory, and they report both increased stress levels among nurses and poor patient results (Aziz, 2009).…”

Section: Outcomes Of a Continuing Education Course On Intravenous Catmentioning

confidence: 99%

Outcomes of a Continuing Education Course on Intravenous Catheter Insertion for Experienced Registered Nurses

Lyons¹,

Kasker²

2012

J Contin Educ Nurs

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Many experienced nurses report a lack of confidence in their intravenous (IV) catheter skills despite training with a phlebotomist and designated orientation time with the IV team. This study assessed the success of an IV catheter insertion continuing education class aimed at improving experienced nurses' skills levels, confidence, and knowledge regarding IV catheter insertion, maintenance, and infection prevention. Through a partnership between a hospital and a college of nursing continuing education program, a 1-day course was provided for 33 experienced nurses. The educators sought to determine whether a continuing education course improved the knowledge and skills of experienced nurses regarding the insertion of peripheral IV catheters and whether the nurses retained the knowledge and skills learned in a formal IV course over time. The findings showed that the continuing education IV course improved the knowledge and skills of experienced nurses. Improvement in knowledge was shown immediately after the course and 8 to 12 weeks later. Skills improvement with regard to infection prevention and policy adherence was evident. Because confidence data were collected with two different scales before and after the course, they were unusable for statistical testing. Further study is needed to determine whether nurses' confidence levels would improve after the implementation of a formal IV course. Replication studies are also needed to validate the results with a larger sample size.

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“…If the clinical need remains, the PIVC and the site should be assessed to ensure the stabilization of the device, that the dressing remains intact, that there are no skin changes apparent at the site (color, swelling, warmth) and that the patient is experiencing no pain at the PIVC site. Of course, hand hygiene is mandatory immediately before touching the catheter and insertion site (41) and the operator should wear sterile gloves if palpation of the site, after removing the dressing, is necessary. Any complications such as phlebitis and/or local infection should be explored further.…”

Section: Care and Maintenance During Dwell Timementioning

confidence: 99%

Improving outcomes of short peripheral vascular access in oncology and chemotherapy administration

et al. 2017

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A short peripheral intravenous catheter or cannula (PIVC) is frequently used to deliver chemotherapy in oncology practice. Although safe and easy to insert, PIVCs do fail, leading to personal discomfort for patients and adding substantially to treatment costs. As the procedure of peripheral catheterization is invasive, there is a need for greater consistency in the choice, insertion and management of short PIVCs, particularly in the oncology setting where there is a growing trend for patients to receive many different courses of IV treatment over a number of years, sometimes with only short remissions. This article reviews best practice with respect to PIVCs in cancer patients and considers the necessity for bundling these actions. Two care bundles, addressing both insertion and ongoing care and maintenance, are proposed. These have the potential to improve outcomes with the use of short PIVCs for vascular access in oncology practice.

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Improving peripheral IV cannula care: implementing high-impact interventions

Cited by 19 publications

References 10 publications

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review

Outcomes of a Continuing Education Course on Intravenous Catheter Insertion for Experienced Registered Nurses

Improving outcomes of short peripheral vascular access in oncology and chemotherapy administration

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