探索外周静脉导管并发症和文档的当前状态:一个点患病率研究
Judy Smith1, Vallire Hooper, Rama Thyagarajan
1Author Affiliation: Vascular Access and Wound Care, Ascension Seton Austin, TX (Smith); Nursing Research & EBP, Ascension, St. Louis, Missouri (Hooper); Infection Control and Prevention and Division of Infectious Diseases, Department of Internal Medicine, Dell Medical School, University of Texas at Austin, Austin, TX (Thyagarajan).
概括
护士们表现出很好地遵守了外周静脉导管 (PIVC) 护理标准. 然而,对PIVC并发症 (如透和炎) 的一致评估和记录需要改进.
科学领域:
- 护理实践 护理实践
- 感染控制 感染控制
- 血管接入装置 血管接入装置
背景情况:
- 周围静脉导管 (PIVCs) 在急性护理中至关重要.
- 护士管理PIVC插入和维护.
- 了解目前的PIVC状态和文档对于患者安全至关重要.
研究的目的:
- 在区域卫生系统中评估PIVC状态和护理文档.
- 为了确定与PIVC并发症相关的因素.
- 评估是否遵守输注护士协会 (INS) 的标准.
主要方法:
- 成年住院患者的点患病率研究.
- 包括665个周围静脉注射导管 (PIVC).
- 评估包裹完整性,插入位置,停留时间和并发症文档.
主要成果:
- 83%的PIVC有干净,完好无损的带;2.7%缺乏透明的带.
- 31%的PIVC在曲区域;中位数停留时间为2.39天.
- 由于没有并发症而具有高的互评分可靠性,但对于更高的分数而言存在显著的分歧.
结论:
- 观察到严格遵守INS输液治疗实践标准.
- 有机会提高透和炎评估的准确性.
- 需要改善PIVC并发症的护理文档.
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