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- Title
Prevalence and Maintenance Practices of Peripheral Intravenous Catheters.
- Authors
Brady, Teresa; Bruno, Frances; Marchionni, Caroline; Paquet, France
- Abstract
Introduction: Peripheral intravenous catheters (PIVCs) are widely used invasive devices in hospital settings; however, reported prevalence of their use and dressing management practices is variable within the literature. Additionally, PIVC-related complications include such minor issues as local phlebitis to major insults such as bloodstream and bone infections. Therefore, inadequate clinical practices and knowledge gaps should be common targets for quality improvement initiatives. Purpose: To measure the prevalence of PIVC use and highlight current practices in PIVC management practices in a university-affiliated tertiary care hospital located in Canada. Methods: Using the Modified Clinical Audit Model,1 a two-day point prevalence survey was conducted across eleven inpatient units for January and April 2016. Standard criteria included PIVC characteristics, PIVC age, indicators PIVC removal, and dressing change. Data were collected through observation, staff /patient reports, or chart reviews. Descriptive statistics were used to analyze data. Results: Of 267 patients that were assessed: 218 (72%) had at least one vascular access device in situ, and 119 (46%) had at least one PIVC. The average age of each PIVC was 3.1 days. Out of 133 PIVCs, 3 (2%) were not in use for more than 24 hours, or had no clear purpose. There were 58 (44%) PIVs with one or more indicators for dressing change. Signs of phlebitis were found in 11 (8%) of the cases. Only 43 (32%) of PIVCs had a date recorded on their dressings. Conclusions: This institutional audit revealed baseline information on PIVC prevalence and management outcomes. Targeted areas for further practice inquiry and practice improvement include dressing maintenance and documentation.
- Subjects
CANADA; HOSPITALS; AUDITING; INTRAVENOUS catheterization; PHLEBITIS; QUALITY assurance; CATHETERS; DATA analysis software; DESCRIPTIVE statistics; SAFETY
- Publication
Vascular Access, 2016, Vol 10, Issue 2, p11
- ISSN
1913-6692
- Publication type
Article