Evidenced-based peripheral IV catheter care
Abstract:
Background: Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks.
Purpose: The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm.
Methods: A quasi-experimental study design was used. A care bundle and an evidence-based decision-making algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals’ adherence to the interventions.
Results: A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days (P < .001), and phlebitis rates decreased from 14.8% to 4.9% (P < .05). Health professionals' adherence increased from 84.3% to 91.8%.
Conclusions: Implementing EBPs can improve care provided to patients with PIV catheters.
Reference:
Hontoria-Alcoceba R, López-López C, Hontoria-Alcoceba V, Sánchez-Morgado AI. Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care. J Nurs Care Qual. 2023 Jan 23. doi: 10.1097/NCQ.0000000000000688. Epub ahead of print. PMID: 36727916.