Pain Perception of a Structured Vascular Access Team Approach to Short Peripheral Catheter (SPC) Placement Compared to SPC Placement by Bedside Nurses
This study investigates the use of a structured protocol by vascular access team (VAT) nurses compared with the practice of bedside nurses to minimize patient pain related to short peripheral catheter (SPC) insertion. During this quantitative study, 201 adults were randomly assigned to have their SPC placed either by the VAT or by bedside nurses. Results showed significantly lower pain scores with the VAT SPC placement (P = .026), and patients were significantly more likely to report the experience as better than their previous SPC placement experiences (χ2 = 7.8; P = .005). Therefore, the use of a VAT would be worthwhile...
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research
Peripheral Venipuncture Education Strategies for Nursing Students: An Integrative Literature Review
This integrative literature review identified strategies to teach peripheral venipuncture to nursing students. The following databases were searched for primary studies: Biblioteca Virtual em Saúde (BVS), PubMed, Web of Science, Education Resources Information Center (ERIC), SCOPUS, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The final sample was composed of 24 studies. The literature ranged from descriptive studies to controlled clinical trials and methodologic studies to construct products/instruments for teaching peripheral venipuncture. The most frequently identified teaching strategies were...
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research
A Novel Use of Long-Term Subcutaneous Hydration Therapy for a Pediatric Patient With Intestinal Failure and Chronic Dehydration: A Case Report
Long-term subcutaneous hydration has not been described in pediatrics. A case of a 4-year-old born prematurely with subsequent intestinal failure, large vessel thrombi, and repeated central line-associated bloodstream infections prompting catheter removal is discussed. Chronic dehydration ensued and was managed with long-term subcutaneous fluid infusions with no serious complications. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research
Hazardous Drug Residues in the Home Setting: Worker Safety Concerns
Safety concerns have existed for more than 40 years about how hazardous drug (HD) exposure contributes to adverse health outcomes in health care workers. Careless handling causes toxic HD residues to infiltrate hospital and ambulatory care settings and can even be tracked to patient homes. Little is known about the adverse health outcomes experienced by exposed caregivers. The December 1, 2019, release of new regulations will enforce health care organizations to minimize risk to all health care workers by implementing the US Pharmacopeia (USP) General ChapterHazardous Drugs—Handling in Healthcare Settings safety standard...
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research
USP General Chapter and Its Impact on Nursing Practice
EDITOR'S NOTE
The Infusion Nurses Society (INS) and the Journal of Infusion Nursing (JIN) editors are pleased to debut Pharmacology Report, a recurring bimonthly column authored by Susan Kleppin, RPh, FASHP. Susan is an accomplished pharmacist in health-system pharmacy with significant experience in infusion therapy. Her column will discuss relevant pharmacology topics, including medications new to market, safe handling for hazardous drugs, and managing drug shortages. INS and JIN extend Susan a warm welcome. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Departments: Pharmacology Report Source Type: research
Committed to Care
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - January 1, 2020 Category: Nursing Tags: Departments: Editorial Source Type: research
Effects of Blood Transfusion Sets on Red Blood Cell Hemolysis
This experimental randomized study compared the effects of macrodrop and microdrop blood transfusion sets on red blood cell (RBC) hemolysis. Twenty units of packed RBCs from different donors were infused through 48 infusion sets from 2 manufacturers at infusion rates of 10 and 100 mL/h. Pre- and postinfusion analysis was performed to determine total hemoglobin (g/dL), hematocrit (%), free hemoglobin (g/dL), potassium (mmol/L), haptoglobin (g/L), and degree of hemolysis (%). The results demonstrated that the level of free hemoglobin (P (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2019 Category: Nursing Tags: Features Source Type: research
A Study of Tolerability, Satisfaction, and Cost Reduction Using a 10% Immunoglobulin Product at Higher Administration Rates
Gammaplex 10% (immune globulin intravenous [human], Bio Products Laboratory, Ltd) can be administered with a 15-minute rate-escalation protocol. This analysis examined safety, patient satisfaction, and cost savings in 49 patients administered Gammaplex 10% via rapid infusion over 11 months. Fourteen patients reported 38 adverse reactions, 37 of which were deemed minor/moderate. Patient satisfaction was very good/outstanding. Infusions were estimated to be 2.4 hours shorter than previously administered intravenous immunoglobulin infusions, saving $151.61 per visit in nursing costs. Rapid infusion of Gammaplex 10% was found ...
Source: Journal of Infusion Nursing - November 1, 2019 Category: Nursing Tags: Features Source Type: research
Developing a Model of Care for Home Infusions of Natalizumab for People With Multiple Sclerosis
In this study, a model of care (MOC), an overarching design for the provision of a health care service, was developed to permit home infusions of natalizumab. The proposed new MOC comprised 9 dimensions, in addition to the central concept of patient-centered care at home. The new MOC is responsive to patient needs and prioritizes the nurse–patient therapeutic relationship. It provides practical examples of patient-centered care to guide clinical practice for this patient population in the home setting. (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2019 Category: Nursing Tags: Features Source Type: research
A Comparison of 2 Venous Puncture Sites for Peripheral Implanted Ports
The use of peripheral implanted ports to administer parenteral nutrition in a number of patient cohorts is increasingly seen as a safe alternative to chest ports with equivalence in long-term outcomes. Two insertion sites on the upper arm were compared using the zone insertion method (ZIM), which was developed as an approach to optimize and reduce catheter-related exit site complications. The ZIM divides the medial upper arm into 3 main colors, red, green, and yellow, which are based on musculoskeletal, skin, and vessel characteristics. The optimal exit site is considered to be the green zone, the middle third of the upper...
Source: Journal of Infusion Nursing - November 1, 2019 Category: Nursing Tags: Features Source Type: research
Evaluation of the Use of Open Versus Closed Short Peripheral Catheters on Catheter Dwell Time
Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open and closed system SPCs. Many SPCs in the study were saline locks. Results showed that the closed system SPCs had a significantly longer dwell time than open system SPCs. Complications overall were few and not different between groups. Nurse survey ratings were more positive for reduced blood spillage and materials with the closed system SPC but favored the open system SPC for ease of use when handling the catheter and venipuncture. The most common rea...
Source: Journal of Infusion Nursing - November 1, 2019 Category: Nursing Tags: Features Source Type: research
Look How Far We've Come!
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2019 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 - August 30, 2019 Category: Nursing Tags: Departments: Continuing Education Source Type: research
Safety Profile of HTX-019 Administered as an Intravenous Infusion in Patients With Cancer: A Retrospective Analysis
HTX-019 is a neurokinin 1 receptor antagonist approved for prevention of acute and delayed chemotherapy-induced nausea and vomiting in patients with cancer receiving moderately and highly emetogenic chemotherapy. When administered as a 30-minute intravenous (IV) infusion, HTX-019 has displayed a tolerable and favorable safety profile in healthy subjects. This is the first study to evaluate the safety profile of multiple HTX-019 infusions in patients with cancer. This retrospective analysis shows that HTX-019 administered via IV infusion has a favorable safety profile in patients with cancer, and no new treatment-emergent a...
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Features Source Type: research
Angioedema Risk Associated With Central Vascular Access Device Declotting
Little is known about the risk of angioedema with low-dose alteplase administration in the treatment of thrombotically occluded central vascular access devices (CVADs). To identify potential cases, the US Food and Drug Administration Adverse Event Reporting System database was searched. Between March 15, 2001, and August 15, 2018, there were 568 low-dose alteplase reports. Of these, 11 appear to be related to complications associated with a device or device occlusion that resulted in an angioedema-like reaction. This suggests that angioedema is a potential complication of alteplase when used for declotting CVADs—a compli...
Source: Journal of Infusion Nursing - August 30, 2019 Category: Nursing Tags: Features Source Type: research
