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Developing a venous assessment tool in IV chemotherapy administration.

Donna McGowan¹, Shirley Wood

¹NHS Lothian, Edinburgh Cancer Centre, Western General Hospital, Edinburgh, UK.

British Journal of Nursing (Mark Allen Publishing)

|April 17, 2008

Summary

Chemotherapy specialist nurses developed a venous assessment tool (VAT) to identify patients needing central vascular access devices early. This aims to reduce discomfort and improve patient care during intravenous chemotherapy.

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Area of Science:

Oncology Nursing
Vascular Access Device Management
Patient Assessment

Background:

Increasing complexity of intravenous (IV) chemotherapy regimens necessitates enhanced nursing support.
Repeated peripheral cannulation for IV chemotherapy causes patient discomfort and potential psychological distress.
Need for a standardized method to identify patients benefiting from central vascular access devices (CVADs) early in treatment.

Purpose of the Study:

To describe the development and rationale of a novel venous assessment tool (VAT).
To identify patients who would benefit from early central vascular access device (CVAD) insertion for IV chemotherapy.
To outline potential benefits of the VAT for nurses and patients.

Main Methods:

Development of a venous assessment tool (VAT) with a scoring system by chemotherapy specialist nurses.
Consultation with pharmacists, oncologists, and other cancer care practitioners during VAT design.
Focus on identifying patients suitable for central vascular access device (CVAD) insertion at treatment initiation.

Main Results:

The VAT provides a structured approach to venous assessment for IV chemotherapy patients.
Early identification of patients needing central vascular access devices (CVADs) can be facilitated by the VAT.
The tool aims to minimize patient discomfort and nursing challenges associated with repeated cannulation.

Conclusions:

The developed venous assessment tool (VAT) offers a systematic method for optimizing vascular access in chemotherapy patients.
Implementation of the VAT has the potential to improve patient experience and nursing efficiency.
Further refinement and validation of the VAT are planned for future implementation.