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Incorporating Near Infrared Light Vein Visualization Technology Into Peripheral Intravenous Access Protocols
Anna Fraifeld1,2, Julie A Thompson1,2
1Anna Fraifeld, DNP, CRNA , is a certified registered nurse anesthetist from South Carolina. She has been in health care for nearly a decade after completing a Bachelor of Public Health from the University of North Florida, Bachelor of Science in Nursing from Johns Hopkins University, and Doctor of Nursing Practice from Duke University. Her previous areas of experience include intensive care unit care, code and rapid response teams, and emergent vascular access, and she has served on nursing shared governance committees to improve patient care. She currently works in South Carolina as a staff nurse anesthetist in a level 1 trauma center and focuses her areas of research on waste management and vascular access.
Vein visualization technology, like near-infrared (nIR), improves peripheral intravenous catheter (PIVC) placement when integrated into nurse-driven protocols. Hospitals using nIR report better patient satisfaction and fewer complications.
Area of Science:
- Medical Devices
- Nursing Practice
- Vascular Access
Background:
- Peripheral intravenous catheters (PIVCs) are frequently placed but often require multiple attempts, increasing resource use and complication risks.
- While vascular access teams exist, not all facilities have them, leaving PIVC placement reliant on bedside nurses' skills.
- Difficult access identification tools and vein visualization technologies, such as near-infrared (nIR), aim to assist nurses.
Purpose of the Study:
- To explore the integration of vein visualization technology into nurse-driven protocols for PIVC placement.
- To evaluate the meaningful incorporation of nIR technology into venous assessment and PIVC access protocols.
Main Methods:
- A survey was distributed to healthcare facilities utilizing nIR vein visualization technology.
- The survey assessed the adoption of nIR technology within nurse-driven protocols and its impact on PIVC placement outcomes.
Main Results:
- 48% of surveyed facilities incorporated nIR technology into their nurse-driven protocols.
- Respondents reported significant improvements: 88% noted enhanced patient satisfaction, 92% observed reduced escalations, and 79% saw fewer PIVC-related hospital-acquired infections.
Conclusions:
- Integrating vein visualization technology into nurse-driven PIVC placement protocols shows potential for positive clinical impact.
- Further clinical studies are needed to validate these findings and support broader adoption.
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