Understanding the Patient Experience of Peripherally Inserted Central Catheter-Related Deep Vein Thrombosis Using Interpretive Phenomenology
The purpose of this interpretive phenomenological study was to determine what it means to patients to live with a peripherally inserted central catheter (PICC)-related deep vein thrombosis and to describe the influence of the experience on the individual's quality of life. The sample included 11 adult patients from an acute care setting who developed a PICC-related symptomatic thrombus between November 2014 and March 2016, using purposive sampling. Three distinct themes emerged from the data in this study: a loss of trust in health care providers, additional burdens to existing problems, and a yearning for understanding. (...
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
Determining the Risk of Sepsis Using Nurse-Compounded Elastomeric Pumps for Continuous Infusion in Outpatient Parenteral Antibiotic Therapy
Limited availability of compounded antibiotics used for continuous infusion outpatient parenteral antibiotic therapy (OPAT) can delay or interrupt an OPAT course. To solve this problem, OPAT nurses at a hospital in Australia have been compounding elastomeric pumps for immediate use. The incidence of sepsis in 5014 patients before and after the introduction of nurse compounding was compared. There were no cases of laboratory-confirmed bloodstream infection among the nurse-compounded group compared with 2 cases (0.045/1000 catheter days) among the control group without nurse compounding (P = .16). No compounding medication e...
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
Project HANDS: A Bundled Approach to Increase Short Peripheral Catheter Dwell Time
Increasing short peripheral catheter (SPC) dwell time is becoming common practice. A number of variables lead to unscheduled restarts and significant complications with SPCs. Preventing complications is important to patient outcomes as dwell time increases. This quality improvement project compared the use of a manufactured securement device versus tape and transparent occlusive dressing while instituting a standardized insertion and care bundle with a 96-hour dwell time. Major findings included no statistically significant difference in restart rates in SPCs secured with a device compared with those secured with tape and ...
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Features Source Type: research
INS 2017 ePoster Presentations
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Departments: INS 2017 ePoster Presentations Source Type: research
INS 2017 Infusion Nursing Grand Rounds
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Departments: INS 2017 Infusion Nursing Grand Rounds Source Type: research
What Problems Are You Trying to Solve?
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Departments: Perspectives from INS Partners Source Type: research
Partners in Research: Together We'll Make a Difference
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2017 Category: Nursing Tags: Departments: Editorial Source Type: research
Extending Short Peripheral Catheter Dwell Time: A Best Practice Discussion: Erratum
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Departments: Erratum Source Type: research
Evaluation of Compatibility of a Gum Mastic Liquid Adhesive and Liquid Adhesive Remover With an Alcoholic Chlorhexidine Gluconate Skin Preparation
The compatibility of a 2% chlorhexidine gluconate/70% isopropyl alcohol (CHG/IPA) skin preparation with a gum mastic liquid adhesive (GMLA) and liquid adhesive remover (LAR) was assessed in healthy volunteers. Twenty subjects completed test material combination with microbial sampling at 3- and 7-day time points. Mean log10 reductions from baseline for normal flora were assessed. There was no significant difference in reduction of normal flora on skin prepped with CHG/IPA versus skin prepped with CHG/IPA followed by GMLA or LAR. The conclusion of the study was that the use of GMLA or LAR with CHG/IPA does not affect the an...
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Age Differences and the Acceptance of Infusion Pump Technology
Previous studies demonstrate that age and receptiveness to new technologies tend to be negatively correlated. Using data from a sample of 311 nurses in a large teaching hospital in the midwestern United States, this study sought to determine whether age predicted satisfaction perceptions of infusion pump technology. Hierarchical regression indicated that the relationship between age and infusion pump satisfaction was not statistically significant, but it also revealed interesting moderation effects. When perceived support for infusion pump use was low, age was negatively related to infusion pump satisfaction. However, when...
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Report of Modification for Peripherally Inserted Central Catheter Placement: Subcutaneous Needle Tunnel for High Upper Arm Placement
The majority of peripherally inserted central catheters (PICCs) are currently inserted with the aid of ultrasound guidance in the middle third of the upper arm. A growing patient population is presenting with challenging vessel access requiring placement of the PICC in the high upper third of the arm. To avoid this suboptimal exit site, a subcutaneous tunneling of the PICC is established away from the axilla to a more appropriate skin exit site. A prospective evaluation was performed in a single facility for all PICC placements from September 2014 to June 2015. Of the results of 685 PICC requests received during the study,...
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Removal of Peripheral Intravenous Catheters Due to Catheter Failures Among Adult Patients
This prospective observational study was designed to clarify the rate of peripheral intravenous catheter, especially short peripheral catheter, failures among adult patients in medical and surgical wards. The study was conducted during a 2-month period at a university hospital in Tokyo, Japan. A total of 5316 catheters from 2442 patients were studied. The rate of catheter removal as a result of catheter failure was 18.8%. The reasons for removal in catheter failures were infiltration (41.3%) and pain (19.3%). Pain was a major reason for catheter failure and removal. For this reason, observing changes under the skin before ...
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Safety Risks Among Home Infusion Nurses and Other Home Health Care Providers
This article summarizes major OSH risks relevant to home infusion therapy by illustrating them through real-life scenarios collected systematically using qualitative research methods by the National Institute for Occupational Safety and Health-funded research projects at the University of Massachusetts Lowell. The need for home infusion therapy will continue to grow in the future, and safety interventions to prevent or minimize OSH risks are essential. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Primary Intravenous Set Consumption Across 3 Branded Infusion Pumps
This retrospective study of 6426 hip replacement, coronary artery bypass graft, and colectomy surgeries across 23 US hospitals found that intravenous (IV) set designs that can be interchanged for use both in gravity-fed and automated pump delivery systems are replaced less frequently than IV sets designed for use primarily by one delivery method. Semistructured interviews with nurses highlighted the impact of set design on nursing workflow when moving between gravity-fed and pump-based administration. Use of interchangeable, single-design IV sets across gravity and automated infusions minimizes disruptions to closed system...
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Features Source Type: research
Presidential Address
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2017 Category: Nursing Tags: Departments: Presidential Address Source Type: research
