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Published on: July 13, 2019
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Things We Do for No Reason™: Routinely maintaining intravenous access in hospitalized patients
Brent Kennis1, John P Gerstenberger1, Lara Hayes1
1Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
Journal of Hospital Medicine
|October 6, 2025
Summary
Removing unnecessary peripheral intravenous catheters (PIVCs) in stable patients can reduce infection risks and patient discomfort. Clinicians should regularly reassess the need for IV access to improve safety and comfort.
Area of Science:
- Medical Practice
- Patient Safety
- Infection Control
Background:
- Peripheral intravenous catheters (PIVCs) are commonly used in hospitals.
- PIVCs are often maintained even when intravenous therapy is no longer needed.
- Idle PIVCs pose risks such as infection, phlebitis, and vascular damage.
Purpose of the Study:
- To challenge the routine practice of maintaining idle PIVCs in clinically stable patients.
- To highlight the risks associated with prolonged PIVC use.
- To advocate for regular reassessment and removal of unnecessary PIVCs.
Main Methods:
- Literature review and clinical practice analysis.
- Examination of risks versus benefits of maintaining idle PIVCs.
- Discussion of alternative access methods and medication administration routes.
Main Results:
- Idle PIVCs contribute to significant patient harm, including infections and discomfort.
- Widespread PIVC use is linked to a substantial proportion of catheter-related bacteremia.
- Intraosseous access is a viable alternative for emergencies, and oral administration is suitable for many medications.
Conclusions:
- Maintaining idle PIVCs in stable patients offers minimal benefit but introduces avoidable harms and costs.
- Regular reassessment of intravenous access needs is crucial.
- Prompt removal of unnecessary PIVCs enhances patient safety and comfort.
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