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Peripheral Intravenous Access: Applying Infusion Therapy Standards of Practice to Improve Patient Safety
1Barb Nickel is the critical care clinical nurse specialist for CHI Health St. Francis, a rural community hospital in Grand Island, Nebraska. She has served as chair/lead nurse planner for the Infusion Nurses Society's National Council on Education and is a member of the Infusion Nurses Society Standards Practice Committee bnickel@sfmc-gi.org.
Peripheral intravenous catheter care is crucial due to high failure rates and complications. This article examines best practices for peripheral IV management in critical care settings.
Area of Science:
- Medical Procedures
- Critical Care Nursing
- Infusion Therapy
Background:
- Peripheral intravenous catheter insertion is the most common invasive hospital procedure globally.
- Despite its frequency, peripheral IV access has high failure rates (35-50%) and significant complication risks, including infection, bacteremia, phlebitis, and infiltration.
- Effective management of peripheral IV sites is essential for safe and quality infusion therapy.
Purpose of the Study:
- To examine the management of peripheral intravenous access within the critical care setting.
- To illustrate the application of evidence-based infusion therapy standards for peripheral IV catheter care.
- To highlight the importance of proper insertion, indications, and assessment for early complication detection.
Main Methods:
- Review of evidence-based standards of practice for peripheral intravenous catheter care.
- Case study approach to demonstrate practical application of these standards.
- Focus on critical care settings for peripheral IV management.
Main Results:
- Consistent application of evidence-based standards is vital for safe and effective peripheral IV therapy.
- Early recognition of complications through diligent assessment parameters is key.
- Adherence to best practices can mitigate risks associated with peripheral IV access.
Conclusions:
- Peripheral intravenous catheter management in critical care requires strict adherence to evidence-based practices.
- Implementing standardized care protocols can improve patient outcomes and reduce IV-related complications.
- Continuous assessment and prompt intervention are critical for maintaining the integrity and function of peripheral IV sites.
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