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Updated: Aug 1, 2026
09:57
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
Cancer Nursing
|February 1, 1992
Summary
A new nursing protocol for accessing venous access ports (VAP) without sterile gloves showed no increase in infection rates compared to standard kits. This cost-effective method may improve nursing practice in outpatient chemotherapy.
Area of Science:
- Oncology Nursing
- Infection Control
- Patient Safety
Background:
- Venous access ports (VAP) are crucial for outpatient chemotherapy.
- Standard VAP access involves commercially prepared kits.
- Concerns exist regarding the efficiency and cost-effectiveness of current VAP access protocols.
Purpose of the Study:
- To compare infection incidence between commercially prepared VAP access kits and a novel nursing-developed protocol.
- To evaluate the time efficiency and cost-effectiveness of the RN-developed protocol.
- To determine if a less resource-intensive VAP access method impacts patient safety.
Main Methods:
- A randomized convenience sample of 26 outpatients undergoing chemotherapy.
- Group I: VAP accessed with commercially prepared kits (69 accesses).
- Group II: VAP accessed using an RN-developed protocol with minimal equipment and no sterile gloves (102 accesses).
Main Results:
- No documented infections were observed in either group over a 6-month period.
- The RN-developed protocol demonstrated potential for increased time efficiency and cost-effectiveness.
- Key infection indicators (WBC, fever, site assessment) were monitored.
Conclusions:
- The nursing-developed protocol for VAP access appears safe and does not increase infection risk.
- This evidence supports potential changes in nursing practice for VAP management.
- Implementing the protocol could lead to more efficient and cost-effective patient care.
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