How to check patency of IV line
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Advanced Search June 2005 - Volume 35 - Issue 6
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Establish a perioperative check forum for peripheral intravenous access to prevent the occurrence of phlebitisPo-Chun Chiu et al. Kaohsiung J Med Sci. 2015 Apr. Free article AbstractThe prevalence of intravenous (IV) catheter-related infections is 0.5 per 1000 device days, and these infections cause tenderness, erythema, swelling and phlebitis. Catheter-related bloodstream infections (CRBSI) may independently increase hospital costs and length of stay; the aim of the study was to set up a standard operating procedure (SOP) for the maintenance of peripheral vein catheter patency and the prevention of IV catheter-related complications. This is a retrospective study, enrolling patients who received anesthesia between April 2010 and January 2011. The study included 1 month of pretest phase, and 3 months each of "notification" phase, "observation" phase and "end" phase, respectively. The cannulations were set up by surgical ward nurses following the SOP on establishing peripheral intravenous catheter in our hospital. The cannulation sites were then examined before surgery and postoperatively by registered nurse anesthetists using the Baxter Scale. We also tried to set up a feedback circuit to let ward nurses know about the IV patency rate. As a result, 14,682 patients were enrolled in the study. The incidence of IV therapy-related adverse events was 0.78% in the notification phase, 0.43% in the observation phase, and 0.13% in the end phase. Overall IV therapy-related events declined significantly (p < 0.01), and the presence of phlebitis was associated with age (p < 0.05). An SOP established to assess IV patency through a checklist can reduce phlebitis and improve quality. The checklist increases ward nurses' and nurse anesthetists' awareness of IV patency, and the feedback circuit substantially reduces IV event rate. Keywords: Intravenous therapy; Nursing; Phlebitis; Quality assessment. Copyright © 2015. Published by Elsevier Taiwan. Similar articles
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What is a patency in nursing?While patency in general can be defined as the degree of openness of a tube with a relative absence of blockage, catheter patency is more detailed. Patency is an important part of both increasing catheter functionality and avoiding potential complications.
How often should you check IV sites?When an infusion is running, it should be routinely assessed for redness, tenderness, swelling, drainage, and/or presence of paresthesias, numbness, or tingling, at least every 4 hours.
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