Achieving a Zero Central Line-Associated Bloodstream Infection Rate in 4 Critical Care Units in Lebanon
Every health care facility aims to achieve and maintain a zero central line-associated bloodstream infection (CLABSI) rate. Infections can be costly for institutions of any size and are often not covered by health insurance. The interventions put in place in this quality improvement project were implemented in 4 phases: (1) develop a new standard of care for central lines and give nurses full responsibility for the care and handling of these lines (including blood sampling); (2) revise policy and provide educational sessions to support nurses; (3) document compliance with the new policy; and (4) document CLABSI rates. The ...
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Features Source Type: research
A Comparative Study of Blood Sampling From Venipuncture and Short Peripheral Catheters in Pediatric Inpatients
This prospective, comparative study examined blood test results, hemolysis rates, and patient perceptions related to 2 blood sampling methods in pediatric inpatients (N = 95). Blood specimens were drawn via venipuncture and a short peripheral catheter used for fluid administration. Results revealed no significant differences in potassium and glucose levels. No clinically significant difference in hemoglobin was noted. Hemolysis rates were 4% for venipuncture samples and 15% when drawn from peripheral catheters. One catheter became occluded after a blood draw. Patients/parents rated distress and dissatisfaction with venipun...
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Features Source Type: research
Best Practices to Decrease Infusion-Associated Medication Errors: Erratum
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Erratum Source Type: research
Nurses' Short Peripheral Catheter Flushing Practices: Implications for Patient Care, Nursing Education, and Policy
Nursing practice and institutional policies regarding short peripheral catheter (SPC) flushing vary. These variations result in a lack of understanding about the factors that influence nurses' SPC flushing practices and leave their effect on outcomes unexplored–information that could potentially enhance nurses' clinical education, institutional policy efforts, and patient care. Using a mixed-methods design, this study examined SPC flushing practices and outcomes among a cohort of medical-surgical nurses and explored their rationale for flushing. Trends were noted in the timing of flushes, and the factors that influenced ...
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Features Source Type: research
Back to School, Back to the Learning Center
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Departments: Editorial Source Type: research
Cost-Effectiveness Analysis of Low-Cost, Domestic Short Peripheral Catheters Versus Higher-Priced, Imported Short Peripheral Catheters
This prospective study has been designed with the hypothesis that low unit price does not necessarily mean cost-effectiveness. Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different time periods. With the use of the higher-priced, imported SPCs, the rate of successful insertion on first attempt was increased (P (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Features Source Type: research
A Cluster of Failures of Midline Catheters in a Hospital in the Home Program: A Retrospective Analysis
A cluster of 11 midline catheter failures occurred during a 2-week period in a Hospital in the Home program in an urban tertiary hospital in Australia. These failures prompted a 4-month retrospective audit of patients receiving outpatient antimicrobial therapy between December 1, 2016 and March 1, 2017. Primary outcomes were dwell time and catheter failure. Peripherally inserted central catheters had significantly fewer failures and significantly longer dwell times compared with midline catheters. Women experienced higher rates of midline catheter failure than men. The proportion of patients with midline catheters receivin...
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Features Source Type: research
Parenteral Nutrition Administration by Critical Care Nurses in Iran: A Performance Evaluation
This study evaluates the performance of critical care nurses in Iran in the administration of PN. The performance of 50 nurses in the administration of PN in the ICU was observed 3 times during a 5-month period for a total of 150 observations. A researcher-developed checklist, “Critical Care Nurses' Performance in Parenteral Nutrition Administration,” was used for data collection. The total score in this checklist ranged from 0 to 52. Based on the procedural steps in the checklist and whether the steps were performed appropriately, nurses' performance was scored as poor, moderate, or good. The mean score of nurses' per...
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Features Source Type: research
Implementation of a Vascular Access Team to Reduce Central Line Usage and Prevent Central Line-Associated Bloodstream Infections
This article presents how 1 hospital developed a VAT and implemented evidence-based guidelines. Central line utilization decreased by 45.2%, and CLABSI incidence decreased by 90%. The results of the study demonstrated that a reduced utilization of central lines minimized the risk of patients developing a CLABSI. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Features Source Type: research
Best Practices to Decrease Infusion-Associated Medication Errors
Infusion-associated medication errors have the potential to cause the greatest patient harm. A 21-year review of errors and near-miss reports from a national medication error-reporting program found that infusion-associated medication errors resulted in the identification of numerous best practices that support patient safety. A content analysis revealed that most errors involved improper dosage, mistaken drug choice, knowledge-based mistakes, skill-based slips, and memory lapses. The multifaceted nature of administering medications via infusions was highlighted. Opportunities for improvements include best practices such a...
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Features Source Type: research
Presidential Address
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Departments: Presidential Address Source Type: research
2018 INS Financial Report
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Departments: 2018 INS Financial Report Source Type: research
State of the Society
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Departments: State of the Society Source Type: research
Put Your Passion Into Print
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2019 Category: Nursing Tags: Departments: Editorial Source Type: research
Accepted but Unacceptable: Peripheral IV Catheter Failure
Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands. Catheter failure is costly to patients, caregivers, and the health care system. Although advances have been made, analysis of the mechanisms underlying the persistent high rate of peripheral IV failure reveals opportunities for improvement. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - May 1, 2019 Category: Nursing Tags: Features: Reprint Source Type: research
