Optimizing the Effectiveness of Short Peripheral Catheters
This study was conducted at a rural Midwestern hospital using a convenience sample (N = 405) and an observational, descriptive cohort design in 6 phases between September 2019 and March 2020. After the practice changes, there was a reduction of SPC replacement (24%), catheter failures (24% to 13%), SPCs per patient (M = 2.9–2.2; P = .045), SPC insertions (4000 per year), and catheter-related bloodstream infections (0.26 per 1000 catheter days to 0.0), as well as a significant increase of SPCs remaining in situ (M = 2.6–3.8 days; P (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Features Source Type: research
The Relationship Between Central Line-Associated Bloodstream Infections and Extended Intravenous Solution Hang Times
This article examined the relationship between extended hang times of nonadditive IV solutions and incidence of CLABSIs in intensive and general practice inpatient units in a quaternary care setting. The incidence of CLABSIs with extended hang times of up to 96 hours, of nonadditive IV solutions, has demonstrated that significant changes in CLABSIs were not evident. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Features Source Type: research
Using Electronic Data and a Mixed-Methods Approach to Evaluate Short Peripheral Catheter Outcomes in Acute Care
Short peripheral catheters (SPCs) are commonly used in hospitals, guided by evidence-based standards to optimize dwell time and limit adverse outcomes. Although SPC insertions are common, real-world evaluation is rare. A theory-based framework and mixed-methods design were used to analyze findings from a unit-level survey and electronic data to evaluate SPC care delivered on units at a large quaternary medical center over a 6-month period (quarters 1 and 2, 2017). Dissemination without adoption and maintenance may limit effectiveness. The convergent results confirmed the feasibility of extracting electronic data to be used...
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Features Source Type: research
Safe Handling of Hazardous Drugs in Home Infusion
Chemotherapy agents used for cancer treatment are considered hazardous drugs (HDs). Guidelines and standards for handling HDs have been in place for several decades to protect oncology nurses working in hospitals and outpatient infusion areas. However, chemotherapy is frequently being administered in home settings, often by infusion nurses who do not necessarily have the requisite knowledge and training. Providing appropriate education for home infusion nurses is key to ensuring they are practicing in a manner that minimizes potential exposure to HDs. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Features Source Type: research
Intravenous Smart Pumps During Actual Clinical Use: A Descriptive Comparison of Primary and Secondary Infusion Practices
This descriptive observational study was conducted to increase understanding of medication administration practices during actual clinical use between 2 commonly used, different types of intravenous (IV) smart pumps. Compliance with manufacturer-recommended setup requirements for both primary and secondary infusions and secondary medication administration delay was compared between a head-height differential system and a cassette system. A total of 301 medication administration observations were included in this study: 102 (34%) for the linear peristaltic IV smart pump (medical–surgical: N = 51; critical care: N = 51) an...
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Features Source Type: research
Nurses Making an Impact
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - May 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
Nursing Continuing Professional Development for Nursing Contact Hours and CRNI® Recertification Units
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Departments Source Type: research
It Depends: Decision-Making for Insertion and Removal of Short Peripheral Catheters
Short peripheral catheters (SPCs) are frequently idle when they are not being used for clinical indications. Focus group interviews were performed with multidisciplinary clinicians at a large tertiary hospital to explore SPC practice related to inserting or maintaining idle SPCs. Findings indicated that decision-making regarding insertion and removal of peripheral intravenous catheters depends on internal and external influences, such as the clinicians' knowledge and skills, emotional responses, expectations of others, organizational policies and practices, and the patient. In today's complex health care environment, the n...
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Features Source Type: research
Administration of 3% Sodium Chloride Via a Peripheral Vein: A Literature Review
Three percent sodium chloride (3% NaCl) is a hyperosmolar agent that can be lifesaving for patients with severe hyponatremic encephalopathy, traumatic brain injury, and cerebral edema. Until recently, many institutions restricted the infusion of 3% NaCl to a central venous site to avoid infusion related adverse events (IRAEs) in peripheral veins. A growing number of studies have reported relatively safe administration of 3% NaCl through a peripheral vein. The incidences of IRAEs were evaluated in 9 studies that included 837 patients who received 3% NaCl through a peripheral vein. Infusion reactions were either uncommon or ...
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Features Source Type: research
Emotional Hazards of Nurses' Work: A Macro Perspective for Change and a Micro Framework for Intervention Planning
Stress in nurses is multifocal, pervasive, and persistent. They practice in a contemporary heath care environment characterized by rapid change, the ongoing integration of novel technologies, and interpersonal challenges. Relationships with patients and families pose unique dilemmas related to witnessing anguish and trauma over time. Interventions are needed to counter the affective demands of nurse caregiving. To this end, national initiatives have been proposed to outline general work setting enhancements promoting well-being. Stressor-specific interventions have also been identified. The goal of this article is to provi...
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Features Source Type: research
Central Vascular Access Device Complications in Pediatric Home Care Patients Managed by Family Caregivers or Nurses
There is a paucity of data regarding complications and outcomes of central vascular access devices (CVADs) in pediatric home care patients. Unlike hospital and clinic settings, home care patients commonly receive catheter care and accesses by family caregivers rather than nurses. This 2-year prospective study compared complications and outcomes of 222 CVADs managed by nurses or family caregivers. CVADs were followed for skin complications at insertion site, catheter complications, central line–associated bloodstream infection occurrences, and the outcome of dysfunctional catheters treated with alteplase. Results showed n...
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Features Source Type: research
Certification Sense
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - March 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
Beyond Bean Counting: Gathering and Using Data to Drive Improvements
Data collection of process and outcome measures for vascular access procedures and devices is recommended in all relevant guidelines and standards. A variety of strategies for achieving these objectives and how the findings can be aggregated and presented to improve patient care is discussed, along with a review of specific recommendations. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Features Source Type: research
Nurse Practitioner Management of a Blinatumomab Infusion Program: Impact on Patient Safety and Quality of Care
The prognosis of children with acute lymphoblastic leukemia can be improved with the use of monoclonal antibodies such as blinatumomab. Many studies discuss the management and treatment of symptoms; however, none of them describe practical complications related to the continuous infusion of blinatumomab, especially during home-based therapy. The purpose of this study is to describe the experience gained over 4 years in the management of pediatric patients undergoing therapy with blinatumomab in an Italian tertiary hospital. The establishment of a nursing program dedicated to improving infusion pump management, patient supp...
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Features Source Type: research
A Qualitative Study of Adult Hospitalized Patients With Difficult Venous Access Experiencing Short Peripheral Catheter Insertion in a Hospital Setting
Hospitalized patients require venous access for procedures, treatments, or therapies. The short peripheral catheter (SPC) is one option for patients who need intravenous (IV) access for treatment. Patients with difficult vasculature sometimes require multiple attempts to obtain SPC access. The aim of this study was to gain an understanding of adult patients' experiences with SPC insertion, specifically those with difficult venous access. Ten participants were purposely sampled over a 2-month period for semistructured interviews from the medical, surgical, and telemetry units at an inner city, 750-bed trauma hospital in the...
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Features Source Type: research
