Placing a Central Vascular Access Device in a Patient With Substance Use Disorder: The Ethical Position of the Infusion Nurse
When infusion nurses place central vascular access devices in patients with substance use disorder (SUD), they are both enabling treatment and making the patient more vulnerable to his or her addictive illness. Using the lens of rescue enables an exploration of the ethical position of the infusion nurse regarding these patients, even though rescue, per se, is inadequate to the complexity of the situation. Suggestions are offered to both the infusion nurse and the health care team for improving their ethical stance, as well as their care of patients with SUD. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Features Source Type: research
Managing Chemotherapy Extravasation Across Transitions of Care: A Clinical Nurse Specialist Initiative
Chemotherapy extravasation can lead to serious patient harm in patients with cancer. For nurses who administer vesicant chemotherapy, extravasation is a primary concern. Regardless of nurse experience level and despite prevention strategies, extravasations occur. Literature related to nurse management of chemotherapy extravasation beyond initial treatment is lacking, and no descriptors are available for a formalized process. Communication gaps and a lack of standardized follow-up within a 1400-bed, quaternary care academic medical institution contributes to challenges in care continuity when patients transition between hos...
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Features Source Type: research
Making Resolutions Last
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2021 Category: Nursing Tags: Departments: Editorial Source Type: research
Improving the Competency of Nurses
This study demonstrates that testing is a promising method to assess the competency of nurses in using medical devices. Moreover, test acceptability among nurses is high. Using competency requirements to develop a test offers the potential to tailor training needs and reduce training time. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Features Source Type: research
Utilizing an Evidence-Based Practice Approach to Examining Infusion Therapy Practices in Non-hospital Outpatient Ambulatory Clinic Settings
This article demonstrates how an Ambulatory Care Shared Governance Practice Council led a systemwide evidence-based practice (EBP) initiative to improve infusion therapy over an 18-month period (May 2017 to December 2018). The initiative, based on the Iowa Model Revised, strengthened the nurses understanding of EBP and successfully standardized infusion therapy care across ambulatory care settings. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Features Source Type: research
Making the Most of Midlines: A Retrospective Review of Outcomes
Decision-making for vascular access device selection is becoming increasingly complex as new technologies come to market and efforts to reduce central line-associated bloodstream infections increase. This retrospective review of 165 midline catheter outcomes was undertaken after a cluster of unexpected failures occurred in a large academic medical center in the southeastern United States. Mean dwell time for midline catheters was 8.5 days; 62.8% lasted to therapy completion, and complications occurred in 15.8%. A quality improvement initiative including implementation of a blood return algorithm and standard education for ...
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Features Source Type: research
Recommendations for Management of Noncytotoxic Vesicant Extravasations
To prepare clinicians to treat extravasation of noncytotoxic vesicants with antidotes and thermal compresses, a literature review was performed to identify noncytotoxic vesicants and to create evidence and consensus-based recommendations. The stage of injury and vesicant's mechanism of tissue injury dictate treatment. For a vasopressor extravasation, warm compresses and administration of a vasodilator are recommended. For osmolarity, pH, absorption refractory, and cytotoxic concentration-dependent vesicants, warm compresses and administration of hyaluronidase are recommended. Compared with potentially catastrophic costs of...
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Features Source Type: research
Update on the Opioid Crisis
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Departments: Pharmacology Report Source Type: research
Words Matter
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2020 Category: Nursing Tags: Departments: Editorial Source Type: research
Continuing Education for Nursing Contact Hours and CRNI® Recertification Units
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Departments Source Type: research
Subcutaneous Versus Intravenous Rehydration in Hospitalized Older Adults: A Meta-Analysis
Subcutaneous rehydration is an optional infusion route in hospitalized older adults. This meta-analysis sought to compare the effectiveness of subcutaneous versus intravenous (IV) fluid administration to reverse mild-to-moderate dehydration in hospitalized older adults. A literature search was performed. No restrictions were imposed regarding language. Three randomized clinical trials conducted with patients 60 years of age or older treated with subcutaneous or IV rehydration were included, with a total sample size of 197 patients. Controlled quasi-randomized and crossover trials were excluded. The primary end point was re...
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Features Source Type: research
Impact of an Educational Program on Nurses' Performance in Providing Peripherally Inserted Central Catheter Care for Neonates
This study evaluated the impact of an educational program on nurses' performance from May 2016 to July 2017 at 4 hospitals in Tehran, Iran. The performance of 80 nurses was observed and scored 3 times before the intervention. Four weeks after the last training session, their performance was observed with the same researcher, and the checklist was completed 3 times in different working shifts. Four 35- to 45-minute training sessions were completed with a 4-week follow-up. Results of the study indicated that training courses should be held every 6 months, including permanent or periodic feedback. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Features Source Type: research
Standardizing Preoperative Evaluation for Pediatric Central Venous Access: A Care Algorithm to Improve Safety
Central vascular access device (CVAD) placement is a common procedure in children. When selecting a CVAD, available evidence and specified indications should be used to choose the device that best supports the patient's treatment and carries the lowest risks. A multidisciplinary team developed a care algorithm to standardize preoperative screening before pediatric CVAD placement, with 3 major parts: CVAD selection, patient risk stratification, and preoperative evaluation. Using a stepwise approach of provider education and incorporation into the electronic health record, the team achieved 82% stratification among inpatient...
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Features Source Type: research
Role of the Infusion Nurse: Caring for the Family/Lay Caregiver of Older Adults
Approximately 43 500 000 family caregivers provide unpaid care to an adult or child. Most caregivers provide care to older adults, most often parents. Caregivers are often ill-prepared to assist their loved ones, creating or increasing caregiving burden and/or risk of compassion fatigue, potentially leading to critical “caregiving tipping points.” Identifying families who are experiencing increased burden or risk of compassion fatigue is a skill that nurses, including infusion nurses, who have unique entrée into the caregiving situation, should develop. The purpose of this article is to describe “impending” tippin...
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Features Source Type: research
Vascular Access Device Care and Management: A Comprehensive Organizational Approach
The Infusion Nurses Society asserts that a comprehensive organizational approach to vascular access device (VAD) care and management is imperative to ensure safe and efficacious patient care. It is essential that each organization (1) develops policies and procedures to align VAD care and management with recognized standards of practice; (2) integrates unique aspects of organization-selected VAD care products into policies and procedures and establishes expectations for adherence to these organizational directives; (3) develops a framework for gathering and analyzing clinical data related to patient outcomes for VAD care a...
Source: Journal of Infusion Nursing - September 1, 2020 Category: Nursing Tags: Features Source Type: research
