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Routine Versus Clinically Indicated Short Peripheral Catheter Replacement: An Evidence-based Practice Project.

Catherine Stevens¹, Kerry A Milner, Jennifer Trudeau

¹Hartford Healthcare Corporation, Meriden, Connecticut (Dr Stevens); Sacred Heart University, College of Nursing, Fairfield, Connecticut (Dr Milner); and Sacred Heart University, College of Business, Fairfield, Connecticut (Dr Trudeau). Catherine Stevens, DNP, NEA-BC, RN, is vice president of patient care services at Hartford Healthcare Corporation in Meriden, Connecticut. Kerry A. Milner, DNSc, RN, is an associate professor in the College of Nursing at Sacred Heart University in Fairfield, Connecticut. Jennifer Trudeau, PhD, is an assistant professor in the College of Business at Sacred Heart University in Fairfield, Connecticut.

Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society

|April 17, 2018

Summary

Replacing short peripheral catheters (SPCs) only when clinically needed, instead of routinely, eliminated infections and saved costs. This evidence-based practice change proved successful in reducing unnecessary interventions.

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Area of Science:

Nursing
Infection Control
Healthcare Management

Background:

Current healthcare practices often involve routine replacement of short peripheral catheters (SPCs) every 96 hours.
This routine practice persists despite high-quality evidence supporting replacement based on clinical indication.

Purpose of the Study:

To evaluate the impact of transitioning from routine SPC replacement to an evidence-based, clinically indicated replacement strategy.
To assess changes in infection rates, complications, and resource utilization.

Main Methods:

A before-and-after study design was implemented to compare practice patterns.
Data on SPC-related infections, phlebitis rates, catheter utilization, costs, and nursing time were collected and analyzed.

Main Results:

Following the practice change, no short peripheral catheter-related infections were reported.
Monthly phlebitis rates remained within an acceptable range (1.9%–3.5%).
A 14.2% decrease in SPC use was observed, leading to estimated cost savings of $2100 and 70 hours of nursing time.

Conclusions:

Implementing clinically indicated replacement of short peripheral catheters is a successful translation of evidence into practice.
This change reduces healthcare-associated infections and optimizes resource allocation without compromising patient safety.