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Infusion Therapy Nursing Team: Implementation and Effectiveness of Initial Results
Luiz Fernando Dos Santos Messias1,2, Viviane Ferreira Cesar1,2, Jeiel Carlos Lamonica Crespo1,2
1Authors' Affiliation: Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
An infusion therapy team successfully performed 1502 activities in its first year, primarily focusing on peripherally inserted central catheter (PICC) insertions and consultations. Their work improved practices and reduced costs.
Area of Science:
- Vascular Access Devices
- Infusion Therapy Nursing
- Healthcare Management
Background:
- Infusion therapy teams manage vascular access, insertion, maintenance, and medication delivery.
- Establishing an infusion therapy team in a public hospital aims to optimize these services.
Purpose of the Study:
- To detail the activities and scope of an infusion therapy team in its inaugural year.
- To evaluate the effectiveness and outcomes of the team's interventions.
Main Methods:
- A descriptive study analyzing the first year of operation of a two-nurse infusion therapy team.
- Data collection on all performed activities, including insertion procedures, consultations, and device maintenance.
Main Results:
- 1502 activities were completed, with 59.6% being peripherally inserted central catheter (PICC) insertions.
- 82.5% of PICCs used tip navigation and electrocardiogram guidance, achieving an 81.7% first-attempt success rate.
- Consultations primarily concerned insertion sites (33.0%) and PICC contraindications (17.8%).
Conclusions:
- The infusion therapy team's initial year demonstrated significant activity, particularly in PICC insertions.
- The team's interventions positively impacted practice dissemination, adoption of best practices, and cost reduction.
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