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Project HANDS: A Bundled Approach to Increase Short Peripheral Catheter Dwell Time
Judybeth Crowell1, Karen OʼNeil, Leslie Drager
1Berkshire Medical Center, Pittsfield, Massachusetts (Mss Crowell, O'Neil, and Drager). Judybeth Crowell, MSN, RN, CRNI®, is the clinical development specialist for the infusion team at Berkshire Medical Center, Pittsfield, Massachusetts. Her role is to improve nursing practice through education and training in the infusion nursing specialty. Karen O'Neil, BSN, RN, CRNI®, is clinical leader of the infusion team at Berkshire Medical Center, Pittsfield, Massachusetts, where she is responsible for daily operations in the department and serves on numerous committees, including the pharmacy and therapeutics, infection control, nutrition, and transfusion committees. Leslie Drager, BSN, RN, CCRC, is the director of the clinical and applied research unit at Berkshire Medical Center in Pittsfield, Massachusetts, where she assists with and manages research.
Abstract:
Increasing short peripheral catheter (SPC) dwell time is becoming common practice. A number of variables lead to unscheduled restarts and significant complications with SPCs. Preventing complications is important to patient outcomes as dwell time increases. This quality improvement project compared the use of a manufactured securement device versus tape and transparent occlusive dressing while instituting a standardized insertion and care bundle with a 96-hour dwell time. Major findings included no statistically significant difference in restart rates in SPCs secured with a device compared with those secured with tape and transparent occlusive dressing (P = .06). These results differ from other published studies and may be due to the traditional nature of the hospital's infusion team and patients' average length of stay.
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