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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Comparative study of nursing protocols for venous access ports
Abstract:
The purpose of this study was to compare the incidence of infection in patients having venous access ports (VAP) accessed using commercially prepared kits with patients having VAPs accessed using a nursing protocol developed by RNs in the outpatient chemotherapy unit. The RN-developed protocol allowed venous access devices to be approached without sterile gloves and with minimal equipment, a technique which is more time efficient and cost effective. A convenience sample of 26 outpatients was randomly assigned to two groups. Patients in Group I, accessed using the commercially prepared kits, were accessed a total of 69 times. Patients in Group II, accessed using the nursing protocol, were accessed a total of 102 times. The two groups were compared for occurrence of infection as identified by elevated white blood count (WBC); febrile episode (greater than 100.4 degrees F); or drainage, pain, redness, swelling, or warmth at the port site. Data collected over a period of 6 months indicated no documented infection in either group. Results from this study will be used to support changes in nursing practice.
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