Infusion Parameters and Demographics of Patients With Chronic Inflammatory Demyelinating Polyneuropathy During Subcutaneous Immunoglobulin Self-Administration Training
This study aimed to determine if patients with chronic inflammatory demyelinating polyneuropathy transitioning from intravenous administration of immunoglobulin G to SCIg improved their infusion parameters during training with the Specialty Pharmacy Nurse Network and identify factors impacting training and ongoing treatment optimization. Of the 310 patients analyzed, most improved their infusion parameters during training. Setting patient expectations and providing education on SCIg technique may improve patients' ability to reach optimal infusion parameters and encourage individualization. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Features Source Type: research
Prevalence and Factors Associated With Indwelling Non-Utilized (Idle) Central Vascular Access Devices Across All Age Groups
This study found that 1 of every 5 CVADs had at least 1 day of idle time, with one fourth of their total dwell duration idle. CVADs with longer dwell duration, those placed in children, and PICCs were more likely to be idle. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Features Source Type: research
Elastomeric Pump Infusion Failures Caused by Inadequate Luer Lock Connector Engagement to Needleless Connectors
Needleless connectors are used widely across all types of vascular access devices and provide safe, needleless administration of intravenous fluids and medications. An analysis of patients from an outpatient parenteral antimicrobial therapy program is presented in which elastomeric pumps had failed to flow due to incomplete tightening of Luer lock needleless connections. An alert was issued to community nursing staff responsible for daily elastomeric pump changes to ensure that needleless connectors were properly checked for full tightening. The frequency of failure of flow events before and after the alert was reviewed. F...
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Features Source Type: research
Implementing a Midline Catheter Program in an Acute Care Hospital: Process and Outcomes
Midline catheters are a viable alternative to central vascular access devices in appropriate patients. Successful midline catheter programs require robust surveillance plans to monitor for appropriateness of use and complications, including bloodstream infections. This retrospective study evaluated the impact of implementing a midline catheter program in a midsize teaching medical center in the northeastern United States from January 2014 to May 2019. After implementation, the midline catheter utilization rate was 5.6% with bloodstream infections and other complication rates of 0.44 and 6.57 per 1000 midline catheter days,...
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Features Source Type: research
Using a Patient Safety Analysis to Guide Infusion Therapy for Patients With COVID-19
In the United States, during the Coronavirus Disease 2019 (COVID-19) pandemic, patients with COVID-19 overwhelmed available intensive care beds, staffing levels were unpredictable, and personal protective equipment was limited. The safety of situating electronic infusion pumps outside patient rooms was evaluated using an internal risk assessment. Based on a low level of risk, a procedure was developed to direct clinicians as to when this process is appropriate during a national crisis. A standardized analysis, Healthcare Failure Mode and Effects Analysis, was conducted to identify all potential risks and implement actions ...
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Features Source Type: research
Investing in the Future of Nursing
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
Measuring the Validity and Reliability of the Vascular Access Complication Staging and Treatment Instrument in a Pediatric Population
A multiphase study designed with Delphi and observational components was conducted to establish the preliminary validity and reliability of the 2018 Vascular Access Complication Staging and Treatment Instrument in pediatric and neonatal populations from a single, free-standing academic children's hospital. The instrument uses objective measurement criterion to determine the severity of swelling and tissue damage to inform treatment decisions. The results of the study provided preliminary empirical evidence to support a pediatric and neonatal intravenous complication staging instrument to assess degree of swelling and sever...
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Features Source Type: research
Implementation of a Supervised Focused Infusion Therapy Clinical Experience and Its Impact on Confidence and Competence
This study aimed to determine whether implementation of a supervised, focused infusion therapy clinical resulted in competence and increased confidence of undergraduate nursing students when performing infusion therapy, as well as to evaluate student perceptions of the best instructional method. The study took place in February 2020 after 5 weeks of comprehensive instruction. Participants reported increased confidence (P (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Features Source Type: research
Outcomes of a Pediatric Ultrasound-Guided Short Peripheral Catheter Training Program and Hands-On Poultry Simulation Course
Ultrasound guidance is an effective technique for obtaining short peripheral catheter (SPC) access but requires training and practice for proficiency. The aim of this quality improvement initiative was to develop and assess a formal training program to increase the confidence and competency of intravenous (IV) therapy nurses in the placement of ultrasound-guided SPCs. IV therapy nurses completed a didactic and hands-on training course where they practiced ultrasound-guided SPC placement techniques on a poultry phantom during simulation, followed by performing ultrasound-guided SPC insertion on patients proctored by an inte...
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Features Source Type: research
Placement of a Peripherally Inserted Central Catheter in a Prone Patient With COVID-19: Feasibility and Case Report
This article presents a PICC placement in a 56-year-old man with COVID-19 ARDS who required 20- to 24-hour prone positioning during his care in the intensive care unit. Insertion of a PICC while the patient is prone expedites lifesaving medications and infusions without waiting for the patient to be stable enough to be turned to the supine position. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Features Source Type: research
ReSEARCH Your Passion
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Departments: Presidential Address Source Type: research
2020 INS Financial Report
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Departments Source Type: research
State of the Society
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Departments Source Type: research
2021 Infusion Therapy Standards of Practice Updates
EDITOR'S NOTE:
INS strives to align the Standards with guidelines and clinical practice recommendations based on the most current evidence available. In our effort to provide consistent information and minimize confusion, this article outlines 4 corrections that will supersede recommendations published in January 2021. Please take a moment to carefully read through each item and make the appropriate updates to your clinical practice. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Departments Source Type: research
Turning the Corner
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
