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A Nurse-Led Ultrasound-Enhanced Vascular Access Preservation Program.

Turena Reeves1, Dolores Morrison, Gerry Altmiller

  • 1Turena Reeves is a quality management coordinator and Dolores Morrison is a clinical nurse specialist at Einstein Medical Center Philadelphia. Gerry Altmiller is an associate professor of nursing at the College of New Jersey, Ewing, and a consultant for Einstein Medical Center Philadelphia. Contact author: Dolores Morrison, morrisod@einstein.edu. Reeves and Morrison received an in-house grant from the Albert Einstein Society to implement this quality improvement project. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|December 1, 2017
PubMed
Summary
This summary is machine-generated.

A nurse-led program using ultrasound helps preserve peripheral veins, reducing unnecessary central line catheter use. This quality improvement initiative aims to decrease central line-associated bloodstream infections.

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Area of Science:

  • Nursing
  • Vascular Access
  • Quality Improvement

Background:

  • Peripheral intravenous catheter insertion is frequent in medical-surgical settings.
  • Repeated attempts deplete usable peripheral veins, leading to overuse of central lines.
  • Central line-associated bloodstream infections are a significant healthcare concern.

Purpose of the Study:

  • To describe the implementation of a nurse-led vascular access preservation program.
  • To reduce the use of nonessential peripherally inserted central catheters.
  • To improve patient safety and reduce healthcare-associated infections.

Main Methods:

  • Implementation of a nurse-led vascular access preservation program.
  • Utilization of ultrasound technology for peripheral IV catheter insertion.
  • Focus on reducing nonessential central line catheter use.

Main Results:

  • The program demonstrated a reduction in the use of unnecessary central line catheters.
  • Preservation of peripheral vessels was enhanced through skilled nursing interventions.
  • Potential for decreased rates of central line-associated bloodstream infections.

Conclusions:

  • Nurse-led vascular access programs utilizing ultrasound are effective.
  • Reducing central line catheter overuse is achievable through targeted interventions.
  • This approach supports national healthcare priorities for patient safety.