Increasing Nurse Competence in Peripheral Intravenous Therapy

Woody, Gina; Davis, Barbara

doi:10.1097/nan.0000000000000013

Cited by 42 publications

(35 citation statements)

References 6 publications

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“…Se describen cuatro grados de flebitis en función de la gravedad de los signos y síntomas clínicos, que van de 0 a 4, siendo 0 la ausencia de síntomas, 1 eritema con o sin dolor, 2 dolor con eritema o edema o ambos, 3 dolor, eritema o edema y cordón fibroso palpable, y 4 cuando están presentes todos los síntomas: dolor en el punto de acceso con eritema o edema o ambos, cordón venoso palpable de 2,5 cm de longitud y secreción purulenta (5)(6)(7)(8) .…”

Section: Nº 45 Enero 2017unclassified

“…Éstas pueden ser: químicas por perfusión de medicación irritante, mecánicas debidas al lugar de punción, tipo y fijación del catéter e infecciosas causadas por la colonización de agentes patógenos cuyo origen es la piel y que migran hacia el interior (5)(6)(7)(8) .…”

Section: Introductionunclassified

“…A la vez, la histamina favorece la agregación plaquetaria formándose un cordón trombótico palpable que con la evolución del proceso se hará visible a lo largo de la vena canalizada, apareciendo calor localizado (5) . Los signos y síntomas característicos de la flebitis son: eritema, dolor, calor local, y edema, también pueden aparecer otros como: cordón indurado a la palpación, exudado purulento y fiebre (7) .…”

Section: Introductionunclassified

See 2 more Smart Citations

Efectividad del tratamiento tópico de la flebitis secundaria a la cateterización periférica: una revisión sistemática

Gil

Castro

Vallecillo³

et al. 2016

eglobal

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Nº 45 Enero 2017Página 491 REVISIONESEfectividad del tratamiento tópico de la flebitis secundaria a la cateterización periférica: una revisión sistemática RESUMENIntroducción: La flebitis es la complicación más frecuente secundaria a la cateterización periférica.Objetivo: Evaluar la evidencia disponible sobre la efectividad de tratamientos tópicos de la flebitis postperfusión en pacientes portadores de catéter venoso periférico.Método: Se realizó revisión sistemática de ensayos clínicos y revisiones sistemáticas publicados desde 1995 a 2015 en las bases de datos Pubmed, Cinahl, Cochrane plus CUIDEN y la BVS (Biblioteca Virtual en Salud), en inglés y español. Los criterios de inclusión fueron: paciente adulto hospitalizado, portador de vía venosa periférica, con perfusión continua o intermitente, incluyendo todo tipo de terapia de infusión que hubieran desarrollado cualquier grado de flebitis. La valoración de la calidad metodológica de los estudios seleccionados, se realizó por pares de forma independiente utilizando el Clinical Appraisal Skills Programme en su versión española.Resultados: Se seleccionaron 11 estudios: 8 ensayos clínicos y 3 revisiones sistemáticas. Analizaron los efectos de fitoterapéuticos: aloe vera, chamomilla recutita y notoginseny; pomadas heparinoides y geles de heparina; antiinflamatorios como el diclofenaco y vasodilatadores como la nitroglicerina, resultando todos ellos efectivos. Conclusiones:El aloe vera, notoginseny, diclofenaco y heparina gel 1000 UI, mostraron nivel de evidencia y grado de recomendación moderado. La heparina gel es el único compuesto con indicación de la Agencia Española del Medicamento para tratar la flebitis post-perfusión, el notoginseny no está comercializado en Occidente y el diclofenaco es un antiinflamatorio utilizado en diversas patologías. Es merecedor de especial atención el tratamiento con aloe vera a la espera de estudios más concluyentes. Enfermería Global Nº 45 Enero 2017 Página 492Palabras clave: Flebitis; tratamiento; catéter periférico; infusión intravenosa. ABSTRACTBackground: Phlebitis is the most common complication induced by peripheral intravenous catheter.

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Section: Nº 45 Enero 2017unclassified

Section: Introductionunclassified

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Efectividad del tratamiento tópico de la flebitis secundaria a la cateterización periférica: una revisión sistemática

Gil

Castro

Vallecillo³

et al. 2016

eglobal

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“…The standard guidelines and practice in the placement and maintenance of PIC is a major problem within the clinical setting. Several studies reported that PIC-associated bloodstream infections had endangered the hospitalized patients with prolonged hospital stay, increased cost, morbidity, and mortality (Woody & Davis 2013). Although there are guidelines on insertion of PIC, the effectiveness of the implemented guidelines in nursing and allied health professions has received relatively little attention.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care

Liew

Tang

2016

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ABSTRAKPeriferal intravena kateter (PIK) & Health 2016;11(2): 181-188 Ho S.E. et al. highlighted that nurses' awareness of infusion-related complications can significantly affect patients' outcomes and health care costs. The study also emphasized that complications of intravenous therapy are costly in terms of patient quality of life, morbidity, mortality, treatment expense, and extended length of hospital stay. According to the World Health Organization (WHO 2009), routine hand washing in patient care is to remove dirt and organic material as well as micro-bacterial contamination acquired through contact with patients or the environment. A study by Hadaway (2012a) claimed that nurses' lack of standardization in practice and knowledge of PIC care directly affects patients' safety risks and outcomes. There were instances where patients nurses' knowledge and practice towards care of PIC. A cross-sectional descriptive study was conducted and 84 respondents participated in the study. A 26-item questionnaire comprising 11 items on knowledge and 15 items related to nursing practice was adapted and modified. The findings reported higher mean score from specialty unit respondents, with knowledge (M = 49.19, SD = 3.44) and practice (M = 66.38, SD = 5.15), compared to medical surgical wards with knowledge (M = 46.25, SD = 4.68) and practice (M = 63.17, SD = 4.63) towards the care of PIC, which was significant (p value = 0.010 and p value = 0.009, respectively). The study indicated a higher mean score of charge nurse respondents as compared with registered nurse with knowledge (M = 49.68, SD = 3.23); (M = 46.20, SD = 4.62) and practice (M = 67.11, SD = 4.84); (M = 63.06, SD = 4.61), which was significant (p value = 0.003 and p value = 0.001, respectively). There were no significant differences between respondents' education qualification towards care of PIC with p > 0.05. However, the findings reported that respondents who possessed Bachelor of Nursing were deemed to score slightly higher in their knowledge and practice towards the care of PIC. In conclusion, the specialty unit and charge nurse respondents were deemed to possess better knowledge and practice towards the care of PIC in the hospital.

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“…Key elements of prevention of these complications include reevaluating basic knowledge and skills related to insertion, management, use (including device stabilization), and removal of PVADs. 7,8 Nurses with expertise and experience in PVAD management have the opportunity to lead (or consult on) development of device-related competencies and strategies to improve device-related safety and quality. In addition, nurses with enhanced awareness of device-related hazards are critical members of product acquisition and review teams, evidence-based practice committees, and work groups focused on patient safety, quality improvement, and system design or redesign.…”

Section: Nursing Implicationsmentioning

confidence: 99%

Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

Mattox

2017

Critical Care Nurse

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Most hospitalized patients have placement of a peripheral venous access device, either a short peripheral catheter or a peripherally inserted central catheter. Compared with central venous catheters that are not peripherally inserted, the other 2 types are generally perceived by health care providers as safer and less complicated to manage, and less emphasis is placed on the prevention and management of complications. Expertise of nurses in inserting, managing, and removing these devices may reduce the likelihood of complications, and increased recognition of complications associated with use of the devices is important to ensure continued improvements in the safety, quality, and efficiency of health care. Complications associated with short peripheral catheters and peripherally inserted central catheters include tourniquet retention, tubing and catheter misconnections, phlebitis, air embolism, device fragment embolization, and inadvertent discharge with a retained peripheral venous access device. Integration of prevention, detection, and recovery strategies into personal nursing practice promotes the quality and safety of health care delivery.

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Increasing Nurse Competence in Peripheral Intravenous Therapy

Cited by 42 publications

References 6 publications

Efectividad del tratamiento tópico de la flebitis secundaria a la cateterización periférica: una revisión sistemática

Efectividad del tratamiento tópico de la flebitis secundaria a la cateterización periférica: una revisión sistemática

Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care

Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

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