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Nursing attitudes and practices for routine I.V. catheter resiting
Frances Evers1, Skip Morelock, Judith Walsh
1In north Texas, Frances Evers is a unit supervisor in a medical-surgical/telemetry unit; Skip Morelock is an administrative supervisor at the same facility and an associate clinical professor at Collin College in McKinney, Tex.; Judith Walsh is a nurse scientist; and Sharifa Khoja is a clinical nurse.
Nursing
|April 26, 2020
Summary
Nurses found routine replacement of short peripheral catheters (SPCs) disruptive. A hospital policy was updated to allow nurses to use clinical judgment instead of a mandatory 96-hour SPC replacement schedule.
Area of Science:
- Nursing Practice
- Medical Device Management
- Patient Care Quality
Background:
- Routine replacement of short peripheral catheters (SPCs) is a common hospital policy.
- Concerns exist regarding the efficiency and patient impact of mandatory SPC replacement schedules.
Purpose of the Study:
- To investigate nursing staff perceptions of hospital policies mandating routine short peripheral catheter (SPC) replacement.
- To assess the perceived disruption and efficacy of current SPC resiting protocols.
Main Methods:
- An exploratory research design was employed.
- An online survey was administered to acute care nurses at a regional referral and trauma center.
- The survey focused on perceived patient disruption and workflow efficiency related to SPC resiting.
Main Results:
- 81 out of 203 eligible nurses participated in the survey.
- Survey data indicated that SPC insertion and resiting are perceived as time-consuming and disruptive to patient care.
- A significant correlation was found between patients who did not require SPC resiting and lower reported disruption levels.
Conclusions:
- The findings support the need to re-evaluate mandatory SPC replacement policies.
- A recommendation was made to revise the hospital's policy, removing the 96-hour SPC resiting requirement.
- The revised policy prioritizes nursing clinical judgment for SPC management.
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