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Related Concept Videos

Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...

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Implementation competence for evidence-based practice among vascular access specialist team nurses: a mixed-method study.

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Related Experiment Video

Updated: Jun 19, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
05:51

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

Published on: January 13, 2026

Variability in Vascular Access Device Use, Dwell Time and Failure: Insights From Routine Nursing Documentation in a

Ismael Fernández-Fernández1,2, Enrique Castro-Sánchez3, Miguel Ángel Rodríguez-Calero4

  • 1Espacio de Innovación, Mejora e Investigación, Hospital de Manacor, Manacor, Spain.

Journal of Clinical Nursing
|June 18, 2026
PubMed
Summary

Short peripheral intravenous catheters are overused and fail early, despite longer-dwelling devices having lower failure rates. Improving device selection and data standardization is crucial for better nursing practice.

Keywords:
catheter failurenursingvascular access devicevascular access specialist teams

Related Experiment Videos

Last Updated: Jun 19, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
05:51

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

Published on: January 13, 2026

Area of Science:

  • Nursing Practice
  • Healthcare Quality Improvement
  • Medical Device Utilization

Background:

  • Vascular access device (VAD) use, dwell time, and failure patterns vary significantly across healthcare institutions.
  • Inconsistent documentation and data completeness hinder reliable benchmarking and quality improvement efforts.

Purpose of the Study:

  • To compare institutional VAD use, dwell time, and failure rates.
  • To explore the implications of these patterns for nursing practice and patient care.

Main Methods:

  • Retrospective multicentre observational cohort study analyzing over 200,000 VAD episodes.
  • Routinely collected nursing records from seven public hospitals over one year were examined.
  • Time-to-event analyses were used to assess complication-free device survival.

Main Results:

  • Short peripheral intravenous catheters (PIVCs) were the most common VADs, exhibiting the shortest dwell times and highest failure rates.
  • Medium and long-duration devices had longer dwell times and lower failure rates but showed substantial inter-institutional variability in use.
  • Significant data completeness issues were noted across hospitals, impacting the analysis of dwell time and removal reasons.

Conclusions:

  • Substantial variability in VAD use, duration, and failure exists across hospitals, with PIVCs dominating practice despite early failure.
  • Optimizing VAD selection based on treatment duration can reduce complications, improve patient comfort, and decrease nursing workload.
  • Strengthening institutional data infrastructure and standardizing documentation are essential for reliable quality improvement in vascular access care.