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Related Concept Videos

Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Related Experiment Video

Updated: May 4, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Nurse-led PICC insertion: is it cost effective?

Graham Walker, Alistair Todd

    British Journal of Nursing (Mark Allen Publishing)
    |December 20, 2013
    PubMed
    Summary

    Nurses achieved higher patient satisfaction and comparable insertion success rates compared to radiologists when inserting peripherally inserted central catheters (PICCs). This suggests ward-based PICC insertion by nurses is a cost-effective approach.

    Area of Science:

    • Medical Devices
    • Vascular Access
    • Healthcare Management

    Background:

    • Peripherally inserted central catheters (PICCs) offer longer venous access than peripheral cannulas but incur higher initial costs.
    • Variations in PICC insertion practices exist between different healthcare professional groups.
    • Optimizing PICC insertion can reduce patient distress and staff time.

    Purpose of the Study:

    • To compare the insertion cost, patient satisfaction, and infection rates of PICCs.
    • To evaluate the performance of trained nurses versus radiologists in PICC insertion.
    • To identify the most cost-effective method for PICC insertion in a district general hospital.

    Main Methods:

    • A 4-month observational study at Raigmore Hospital.
    • Data collection via questionnaires and direct observation of PICC insertions.

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    A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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  • Assessment of patient satisfaction, insertion success, costs, and infection rates.

    • Main Results:

    • Radiologist-inserted PICCs incurred 42% higher costs (p<0.01).
    • Nurses achieved higher patient satisfaction regarding treatment explanation.
    • Higher insertion success and infection rates were observed in the radiologist group.

    Conclusions:

    • PICC insertion can be safely performed by nurses in a ward setting without X-ray screening.
    • Ward-based PICC insertion by nurses presents a cost-effective solution for high-volume services.
    • This approach enhances patient satisfaction and potentially reduces complications.