Nursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency.

Area of Science:

• Emergency Medicine
• Vascular Surgery
• Nursing Practice

Background:

• Peripheral venous catheterization is a common procedure in emergency settings.
• Vascular trauma is a potential complication of peripheral venous puncture.
• Preventive strategies are crucial to minimize patient harm.

Purpose of the Study:

• To develop, implement, and evaluate a bundle of interventions to prevent peripheral vascular trauma during venous puncture.
• To assess the effectiveness of this bundle in a clinical setting.

Main Methods:

• Action research methodology involving 435 adult participants in an emergency service (2011-2013).
• Development of a vascular trauma prevention bundle based on scientific evidence and ease of use.
• Implementation via nursing team education and effectiveness analysis using descriptive and inferential statistics (chi-square test, 95% CI).

Main Results:

• The implemented bundle, focusing on catheter fixation, permanence, and removal, demonstrated significant impact.
• A 46.41% reduction in the incidence of vascular traumas associated with emergency peripheral catheterization was observed post-implementation.

Conclusions:

• The developed bundle is effective in reducing vascular traumas resulting from venipuncture in clinical practice.
• This intervention enhances patient safety during emergency peripheral catheterization.