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To Replace or Not to Replace? Replacing Short Peripheral Catheters Based on Clinical Indication.

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Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society
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Replacing short peripheral catheters (SPCs) based on clinical need, not a fixed 96-hour policy, reduces complications and saves costs. This quality improvement initiative demonstrates the benefits of evidence-based catheter care.

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Area of Science:

  • Medical Devices
  • Quality Improvement Initiatives
  • Healthcare Economics

Background:

  • Short peripheral catheters (SPCs) are ubiquitous in hospitals.
  • Current policies often mandate SPC replacement every 96 hours, irrespective of clinical need.
  • This practice can lead to unnecessary costs and potential complications.

Purpose of the Study:

  • To evaluate the impact of replacing SPCs based on clinical indication versus a timed 96-hour policy.
  • To assess complications, nursing time, and product use associated with different SPC replacement strategies.
  • To determine the cost-effectiveness of a clinical indication-based SPC replacement protocol.

Main Methods:

  • A pre-post quality improvement initiative was conducted.
  • The Visual Infusion Phlebitis (VIP) scale was used to assess complications.
  • Data on patient demographics, SPC characteristics, nursing time, and product usage were collected.

Main Results:

  • SPCs removed based on clinical indication remained intact longer than those routinely replaced at 96 hours.
  • Fewer complications were observed in the clinical indication group.
  • Implementing clinical indication-based replacement led to significant cost savings of $7263.60 per unit per month.

Conclusions:

  • Replacing short peripheral catheters based on clinical indication is safer and more cost-effective than routine 96-hour replacement.
  • This approach minimizes unnecessary procedures and associated healthcare expenses.
  • Adopting a clinical indication-based strategy improves patient care and resource utilization.