The prevalence of peripheral intravenous cannulae and pattern of use: A point prevalence in a private hospital setting

Wong, Kelvin K. L.; Cooper, Alannah L.; Brown, Janie; Boyd, Leanne; Levinson, Michele

doi:10.1111/jocn.13961

Cited by 17 publications

(20 citation statements)

References 21 publications

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“…Similar to venepuncture, the insertion of a PIVC is common practice for patients admitted to hospital (Cox, Dages, Jarjoura, & Hazelett, 2004). Most are inserted to administer intravenous fluids and medications (Wong, Cooper, Brown, Boyd, & Levinson, 2018). Although blood samples have traditionally been drawn from peripheral venepuncture, it has been reported PIVCs are being used for the purpose of taking bloods other than in emergency situations (Carr et al, 2016;Decker et al, 2016;Dietrich, 2004).…”

Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

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Background: Sampling blood from a peripheral intravenous cannula offers an alternative to venepuncture. This practice can reduce frequency of venepuncture and patient discomfort. Opponents argue the practice increases the chance of haemolysis, risk of infection and device failure. Aim: To describe the prevalence and practice of blood sampling from peripheral intravenous cannulas by Australian nurses. Methods: This study used a descriptive cross-sectional design and data were collected using an electronic survey. The survey examined Australian nurses' practice of sampling blood from peripheral intravenous cannulas. Quantitative descriptive data was analysed and presented as frequencies, percentages, medians and ranges. Findings: A total of 542 nurses participated in the survey. Of these, 338 (62.4%) completed the survey. The majority of responses came from the State of Victoria (n = 137, 40.5%) and one-third were emergency nurses (n = 112, 33.1%). Sampling of blood from peripheral intravenous cannulas occurred between 37.5% and 66.7% throughout the State and Territories of Australia. Peripheral intravenous cannula blood sampling was most common in the emergency department (n = 93, 53.4%). The most frequent reasons given were difficulty of access (n = 223, 66.0%) followed by patient comfort (n = 194, 57.4%). Discussion: Blood sampling is required to diagnose and monitor treatment responses. A peripheral intravenous cannula offers the opportunity to sample blood without the need for venepuncture. Practice recommendations on when to sample blood and correct sampling technique are based on limited or conflicting evidence. Conclusion: Findings from this study indicate it is common practice to draw blood samples from a peripheral intravenous cannula. Further research is required to examine the accuracy and safety of this practice to further inform policy.

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Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

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“…Peripheral intravenous catheters (PIVC) are the most common invasive devices used during clinical care worldwide. At present about 60% of hospital inpatients would have a PIVC inserted, 1,2 and up to 90% of patients attending the emergency department (ED) would require a PIVC at any time during care. 3 Almost 70% of these patients experience catheter-related complications, mainly infection, phlebitis, occlusion, dislodgement, infiltration and extravasation, that lead to extended hospital stay and costs and increase the risk of vascular damage and bloodstream infections.…”

Section: Introductionmentioning

confidence: 99%

Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis

et al. 2020

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Peripheral venous catheterization is a common technique in hospitals which is not always successful, resulting in multiple punctures and degradation of the vessels. This scenario, which we have termed 'difficult peripheral venous access', is associated to delays in care, obtention of samples or diagnosis, as well as a higher use of central catheters. This study intends to identify risk factors associated to the incidence of 'difficult peripheral venous access' in adults at hospital. We designed a systematic review of published studies (protocol PROSPERO 2018 CRD42018089160). We conducted structured electronic searches using key words and specific vocabulary, as well as directed searches in several databases. After validity analysis, we selected 7 studies with observational methodology. We found great variability in the definition of 'difficult peripheral venous access' and in the variables proposed as risk factors. Statistically significant factors through studies include demographic and anthropometric variables (gender, Body Mass Index), as well as medical and health conditions (diabetes, renal insufficiency, parenteral drug abuse, cancer chemotherapy), together with variables related to the vein or vascular access (vein visibility and palpability, vessel diameter, previous history of difficulty). Some studies have also considered variables related to the professional performing the technique. Meta-analyses were carried out for gender and obesity as potential risk factors. Only obesity appeared as a statistically significant risk factor with OR of 1.48; 95% CI (1.03 to 1.93; p = 0.016). Methodological heterogeneity prevented the development of further meta-analyses. It is essential to design future studies with diverse hospital populations, in which a wide selection of potential risk factors can be studied in a unique analysis. Our work identifies the most relevant variables that should be included in those studies.

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“…A peripheral intravenous catheter insertion is the most common invasive hospital procedure performed worldwide [3,4]. It is used for the administration of medications, intravenous fluids, and blood products [5].…”

Section: Introductionmentioning

confidence: 99%

Nursing students’ knowledge on the management of peripheral venous catheters at Wollega University

2020

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Background Adherence to the best standards of nursing practice is the fundamental principle to improve patient outcome and prevent nursing procedure related-infections. A peripheral venous catheter (PVC) is the most common invasive procedure performed in nursing care. Its poor performance could expose patients to bloodstream-related infections. The present study aimed to assess post-basic nursing students' knowledge of evidence-based guidelines on the management of peripheral venous catheters. Methods A cross-sectional study design was conducted on May 01-03, 2019, using a convenient sample 239 among post-basic nursing students in Wollega University. Results The study result showed that nursing students' had a low mean (4.1±1.52) of knowledge about PVC procedure management. Only 41% of the respondents have adhered to recommendations of CDC guidelines. Among the provided options of the items, none achieved 100% correct answers. The majority of nursing students (77%) responded that antiseptic handwashing is always performed before insertion of PVCs. Meanwhile, few students (5%) correctly answered that the infusion set is recommended to be removed after 96 hours when neither lipids nor blood products are administered. In multivariable regression analysis, nursing students who had received training (AOR = 2.9, 95% CI (1.6, 5.1)) and who were younger (AOR = 2.4, 95% CI (1.3, 4.3)) significantly associated with a higher score of knowledge. Conclusions This study finding shows that an overall level of knowledge of post-basic nursing students is inadequate. Measurements such as an increase in the provision of adequate training by

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The prevalence of peripheral intravenous cannulae and pattern of use: A point prevalence in a private hospital setting

Cited by 17 publications

References 21 publications

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis

Nursing students’ knowledge on the management of peripheral venous catheters at Wollega University

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