Utility of the DIVA Score for Experienced Emergency Department Technicians

Shaukat, Haroon; Neway, Beemnet; Breslin, Kristen; Watson, Ar'Reon; Poe, Kelly; Boniface, Keith; Cohen, Joanna S.

doi:10.2309/j.java.2019.004.007

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…Several factors regarding blood specimen collection can influence the reliability of laboratory results. 12,13 These factors, along with the different laboratory variables (eg, chemicals, light versus no light, length of time until the sample expires) can quickly lead to unreliable test results. Proving the accuracy of blood samples collected from midline catheters is important for patient care since the midline catheter is marketed for blood sampling, despite adequate evidence regarding sampling techniques or outcomes of this procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Several factors regarding blood specimen collection can influence the reliability of laboratory results 12,13. These factors, along with the different laboratory variables (eg, chemicals, light versus no light, length of time until the sample expires) can quickly lead to unreliable test results.…”

Section: Discussionmentioning

confidence: 99%

“…Specific diagnoses associated with DIVA include obesity, end-stage renal disease, sickle cell disease, intravenous drug abuse, peripheral vascular disease, and diabetes mellitus 2,5–7. Ultrasound-guided vascular access devices such as PowerGlide Pro™ Midline Catheters are proven effective in cannulating DIVA patients,5–10 with a >90% success rate on first attempt 6–13…”

Section: Introductionmentioning

confidence: 99%

“…2,5-7 Ultrasound-guided vascular access devices such as PowerGlide Pro™ Midline Catheters are proven effective in cannulating DIVA patients, 5-10 with a >90% success rate on first attempt. [6][7][8][9][10][11][12][13] Many vascular access manufacturers sell a certain type of vascular access device that they market as a midline catheter. These specialty catheters are designed specifically for insertion into the larger vessels of the upper arm, with the proximal tip of the catheter ending at the level of the axilla.…”

mentioning

confidence: 99%

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Blood Samples from Midline Catheters: Clinically Equivalent to Venipuncture

Minor,

Pfeiffer

2024

Journal of Infusion Nursing

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PowerGlide Pro™ Midline Catheters, manufactured by Becton Dickinson, are marketed as capable of obtaining blood specimens. However, there is insufficient research to validate the laboratory results collected from these specialty catheters. The purpose of this research study was to determine whether blood samples obtained via venipuncture and samples obtained directly from a midline catheter are clinically equivalent. A qualitative study was completed per recommendations published in Clinical and Laboratory Standards Institute (CLSI) standards EP-05-A3 to determine whether the 2 modalities are clinically equivalent. A 12-point correlation study was performed, comparing blood results from phlebotomy venipuncture and midline catheter blood draws for 20 successful participants. Results were compared with an EP Evaluator. Report interpretation was completed using the 2-instrument comparison module to determine whether the 2 methods were clinically equivalent. All correlated specimens resulted within the medically acceptable total allowable error, proving the 2 methods clinically equivalent. The study concluded that blood draws from midline catheters are clinically equivalent to venipuncture and are an acceptable form of specimen collection for laboratory studies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Blood Samples from Midline Catheters: Clinically Equivalent to Venipuncture

Minor,

Pfeiffer

2024

Journal of Infusion Nursing

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Introducing an ultrasound-guided longer length peripheral IV catheter for patients with difficult venous access

Godfrey,

Gallipoli

2024

Br J Nurs

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Aim: Insertion of a peripheral intravenous catheter (PIVC) is one of the most common procedures carried out in hospitals worldwide, but failure rates are unacceptably high. This local quality improvement project aimed to assess improvements in first-stick success rate, dwell time and overall catheter success rate when implementing a longer-length peripheral intravenous catheter (LPIVC) under ultrasound guidance for patients with difficult venous access (DVA). Methods: Data were collected from 386 DVA patients requiring a PIVC at one hospital. Number of catheter insertion attempts, catheter dwell time and reason for catheter removal were recorded for each patient. To implement the new DVA catheterisation pathway, registered nurses undertook a training programme comprising workshops and ultrasound-guided cannulation technique practice on phantoms. Costs and waste weights associated with LPIVC insertion, compared with midline insertion, were calculated. Results: First-stick success rate was 95.0% using the LPIVC under ultrasound guidance. Dwell time ranged from 1 to 80 days, with a large proportion of those dwelling <1 day being placed in day-case patients. Treatment success rate with the LPIVCs was 83.6%. Equipment costs for an LPIVC insertion were £89.22 lower than for a midline insertion, and the weight of waste generated per procedure was 1 kg lower for LPIVCs. Conclusions: First-stick success rate of LPIVCs, aided by improved purchase in the vein and visualisation with ultrasound guidance, was very high, superior to rates reported in other studies. The procedure provides a better patient experience as successful first attempts avoid unnecessary further insertion attempts. Other benefits are increased nursing time efficiency, a reduction in clinical waste and the lower cost of the equipment required.

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Utility of the DIVA Score for Experienced Emergency Department Technicians

Cited by 2 publications

References 7 publications

Blood Samples from Midline Catheters: Clinically Equivalent to Venipuncture

Blood Samples from Midline Catheters: Clinically Equivalent to Venipuncture

Introducing an ultrasound-guided longer length peripheral IV catheter for patients with difficult venous access

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