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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
Published on: January 24, 2012
Research utilization: adhesive bandage dressing regimen for peripheral venous catheters
T M VandenBosch1, J Cooch, J Treston-Aurand
1St. Joseph Mercy Hospital, Ann Arbor, USA.
American Journal of Infection Control
|January 23, 1998
Summary
Adhesive bandages (AB) effectively dress peripheral intravenous (IV) catheters, showing a lower phlebitis rate than gauze/tape. Antimicrobial ointment with ABs increased phlebitis risk.
Area of Science:
- Nursing Practice
- Evidence-Based Practice
- Clinical Research
Background:
- Research utilization applied to clinical practice for peripheral intravenous (IV) catheter care.
- Focus on improving dressing protocols for IV sites.
Purpose of the Study:
- To synthesize research findings on IV catheter dressings.
- To develop and implement a clinical protocol using adhesive bandages (AB) for peripheral IV catheter sites.
- To evaluate the effectiveness of AB dressings compared to traditional gauze/tape in reducing phlebitis.
Main Methods:
- Systematic review and synthesis of relevant research studies.
- Development of a clinical protocol for using adhesive bandages (AB) for peripheral IV catheter dressings.
- Comparative evaluation of phlebitis rates between AB dressings and gauze/tape dressings.
- Implementation of planned change strategies for protocol adoption.
Main Results:
- Phlebitis rate for gauze/tape dressings was 16.7%.
- Phlebitis rate for adhesive bandage (AB) dressings was 14.9%.
- Use of antimicrobial ointment with AB dressings was associated with a higher proportion of phlebitis.
Conclusions:
- Research utilization framework successfully transferred research knowledge into clinical practice for IV catheter care.
- Adoption of adhesive bandages (AB) for peripheral IV dressings was integrated into hospital policy.
- Discontinuation of routine antimicrobial ointment application at peripheral IV sites was reinforced.
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