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- Title
Primary Goal: Safe Infusion using a Single Line in Community Setting.
- Authors
Duerksen, Cathy
- Abstract
“Do more with less” is a common feeling within today’s medical model. Fewer nursing resources place greater responsibility on clients to perform tasks previously managed by a home care nurse. The Vancouver Community IV Program provides IV medication in both community clinic settings and in homes; the push is to have greater numbers of clients who are independent with self-care, to reduce the number of nursing visits required. The responsibility for teaching self-care falls to the nursing team. Medications such as antibiotics provided via gravity infusion in the Vancouver Community have “always been” done using a secondary infusion set that is “piggy backed” into a primary line connected to an infusion bag of normal saline. The set-up of this primary/ secondary infusion has many steps that experienced nurses do without pause; however, the steps are not only overwhelming for clients trying to learn self-care, but if not done correctly, the multiple steps needed can pose an increased risk for infection or infusion error (e.g., if a connection port is not scrubbed with alcohol). A proposal to move to a single primary line for simple antibiotic infusions was put forward in September, 2014, in order to achieve greater nurse efficiency and ease the teaching model for clients. During the research into this proposal, many aspects were explored - but the bottom line came down to how this could be accomplished while keeping clients safe - and costs down! This poster will demonstrate: the benefits and problems of using secondary set up; methods used to investigate the proposal to use a single line only; research and data to support the safe and successful switch to a single-line primary infusion in a community setting; and other unforeseen concerns that needed to be addressed. Outcomes and learning from the first year will also be included.
- Subjects
INTRAVENOUS therapy; INTRAVENOUS therapy equipment
- Publication
Vascular Access, 2016, Vol 10, Issue 2, p6
- ISSN
1913-6692
- Publication type
Article