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Hospital-at-home intravenous administration overview

“Some injections may be given over a longer time or as continuous infusions through a pump. This allows fewer visits by healthcare staff. Transport and storage of such injections at home also needs special care. In the same way, some medicines that need to be stored safely require special care. Care should be taken to avoid risk of infection from regular visits of doctors and healthcare staff. Medical waste must be carefully disposed of to prevent pollution” Peinovich et al (2024).

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Bedside tunneled dialysis catheter insertion

“The placement of ultrasound guided tunneled dialysis catheters at the bedside following a pre-procedural evaluation of the right jugular, brachiocephalic, and femoral veins is a safe option resulting in expedited patient care, decreased resource utilization, and significant cost savings” Ostroff et al (2024).

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IV dressing practice compliance

“Male sex and gauze dressing had a higher risk of non-compliant dressing; presence of one or more lumens infusing, central venous catheter, PICC line, implantable port and contact precautions were associated with a lower risk of non-compliant dressing” Munigala et al (2024).

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The evolving role of the oncology nurse – Full Text

“The results of the study allow a better understanding of the emergent roles of oncology nursing. The importance of self-care initiatives and education are emphasized as critical to support nurses in their complex, busy, and emotionally charged work environment and to help retain existing nurses and attract new individuals into the profession” Grenon et al (2024).

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IV dressing skin reactions in children

“Central line dressings (CLDs) may be associated with adverse skin reactions in hospitalized children. Currently, standardized protocols to guide the management of cutaneous CLD reactions are unavailable at our children’s hospital and in the pediatric literature” Mulinda et al (2024).

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Blood donation vascular access techniques

“Options for IV access include a 16-gauge hypodermic needle attached to the FWB collection bag (straight stick technique [SST]) and an 18-gauge angiocatheter with a saline lock (saline lock technique [SLT]), which may improve access given its confirmatory flash chamber and medic familiarity” Rodgers et al (2024).

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Vascular Access and IV Therapy Resource

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Technology for infusion line identification

“The light-linking technology reduced overall time to injection compared to standard labeling practices and demonstrated a significant decrease in time to injection in low-light settings, greater perceived usability, and lower perceived task load. Injection error rate could not be adequately assessed, but 6 of 8 errors were committed in low-light conditions” Huffman et al (2024).

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Guidelines to reduce blood culture contamination – Full Text

“Our evidence-based systematic review and meta-analysis support several interventions to effectively reduce BCC by approximately 40%-60%. However, devices alone without an education/training component and buy-in from key stakeholders to implement various interventions would not be as effective in reducing BCC rates” Sautter et al (2024).

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Tunneled PICC clinical outcomes – Full Text

“Comparing the differences in efficacy and adverse reactions on the application between tunnel peripherally inserted central catheter (TPICC) and ultrasound-guided peripherally inserted central catheter (PICC) in patients with advanced tumors” Zheng et al (2024).

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Chlorhexidine gluconate IV dressing research – Full Text

“There is a notable reduction in the incidence of CRBSI and bacterial colonization in patients with CVCs through the application of chlorhexidine gluconate dressings. Given the compelling evidence, the integration of these dressings into standard nursing care protocols for the management of CVCs is advocated” Xu et al (2024).

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Continuous intravenous furosemide infusion at home – Full Text

“Persistent congestion from chronic heart failure can be safely managed in the home with a continuous high dose intravenous furosemide infusion. In our experience, the use of elastomeric pumps has provided a simple, safe, and effective method of delivering intravenous diuretic therapy when coordinated by heart failure nurses” Chirnside et al (2024).

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Factors associated with CRBSI mortality – Full Text

“Enhanced monitoring of factors, such as candida detected in blood culture, CRBSI onset within 30 days of catheter insertion, concurrent infection, low serum albumin level, elevated C-reactive protein (CRP) level and the use of a peripherally inserted central catheter (PICC), is crucial for mitigating CRBSI severity and risk of death” Futamura et al (2024).

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Peripheral parenteral nutrition complications

“PPN proved to be a safe and effective therapy for short-term PN when managed by a nutrition support team. PPN has the potential to attenuate short-term nutrition deficits and prevent central venous access device insertion in selected patients, making it a valuable nutrition support therapy” Bidgood et al (2024).

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Review of handheld ultrasound for placement of peripheral IV catheters – Full Text

“Ultrasound guided IV catheter (USGIV) access occurs frequently in Emergency Departments (EDs). This task is often performed using large, expensive, cart-based ultrasound systems (CBUS) which are frequently needed for other ED ultrasound functions and can be cumbersome to use and store. Handheld ultrasounds (HHUs) may be able to meet this need, but it is unknown if they function interchangeably with CBUS for USGIV placement” Malik et al (2024).

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