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Number of Intravenous Insertions Per Week Does Not Influence Infusion Nurses' Ratings of Risk Factors for Difficult
Emely Alfaro1,2, Ruby Ejercito1,2, Marissa Canote1,2
1Author Affiliations: Adult Infusion Services, Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA (Alfaro, Ejercito, Canote, Cosgrove, Hawker, Quinn and Miaskowski); School of Nursing, University of California, San Francisco, CA (Miaskowski).
Oncology nurses performing more than 10 difficult intravenous access (DIVA) procedures weekly rated only cirrhosis history as a higher risk factor. Key DIVA predictors include prior IV attempts and dehydration.
Area of Science:
- Oncology Nursing
- Vascular Access Management
- Patient Risk Assessment
Background:
- Difficult intravenous access (DIVA) poses challenges in oncology care.
- Understanding nurses' perceptions of DIVA risk factors is crucial for patient management.
Purpose of the Study:
- To compare nurses' risk factor ratings for DIVA based on weekly insertion volume.
- To identify differences in perception between nurses performing ≤10 vs. >10 IV insertions weekly.
Main Methods:
- A survey of 81 oncology nurses assessed 53 potential DIVA risk factors.
- Nurses used a 0-10 scale to rate the predictiveness of each factor.
- Participants were categorized by weekly IV insertion volume (≤10 vs. >10).
Main Results:
- Nurses performing >10 IV insertions/week rated only cirrhosis history as more predictive of DIVA.
- No demographic differences (age, sex, experience) were found between groups.
- Highest-rated risk factors included prior IV attempts, multiple venipunctures, IV drug use history, and dehydration.
Conclusions:
- Nurses' experience level minimally impacts DIVA risk factor perception.
- Identified high-risk factors can aid in proactive patient identification.
- Findings support targeted education for oncology nurses on DIVA risk assessment.
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