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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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Emergency inserted peripheral intravenous catheters: a quality improvement project.
Leanne Ruegg1, Mark Faucett2, Keat Choong3
1Clinical Nurse Consultant, Vascular Access Surveillance and Education, Sunshine Coast University Hospital, Birtinya, Queensland, Australia.
British Journal of Nursing (Mark Allen Publishing)
|July 27, 2018
Summary
Ambulance-inserted peripheral intravenous catheters (PIVCs) pose infection risks. A quality improvement project using stickers and education significantly reduced delays in removing these high-risk PIVCs within 24 hours.
Area of Science:
- Healthcare quality improvement
- Infection prevention and control
- Vascular access device management
Background:
- Vascular access devices are essential but increase infection risk.
- Ambulance-inserted peripheral intravenous catheters (PIVCs) have higher risks of catheter-related bloodstream infection (CRBSI) due to non-aseptic insertion.
- Queensland guidelines mandate PIVC removal within 24 hours if inserted in emergencies.
Purpose of the Study:
- To address delays in removing ambulance/emergency inserted PIVCs beyond 24 hours.
- To improve identification of high-risk PIVCs by ward staff.
- To reduce the incidence of prolonged PIVC dwell times in emergency situations.
Main Methods:
- Implementation of a quality improvement project.
- Stakeholder engagement to foster collaboration.
- Introduction of identification stickers for ambulance/emergency inserted PIVCs.
- Education of ward staff on PIVC identification and removal protocols.
Main Results:
- Significant reduction in the number of ambulance/emergency inserted PIVCs remaining in situ for over 24 hours.
- Improved identification of high-risk PIVCs by healthcare staff.
- Demonstrated effectiveness of the sticker and education intervention.
Conclusions:
- The quality improvement initiative successfully reduced prolonged dwell times for ambulance/emergency inserted PIVCs.
- Stickers and staff education are effective strategies for managing high-risk vascular access devices.
- Adherence to guidelines for PIVC removal can be enhanced through targeted interventions.
Keywords:
Catheter-related bloodstream infectionEmergency careHealthcare-associated infectionPeripheral catheter/cannulaPre-hospital careMore Related Videos
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