Volume 28: Issue 3

Gregory E. Gilbert
Citation: Journal of the Association for Vascular Access 28, 3; 10.2309/JAVA-D-230002

Lisa A. Paganotti
Citation: Journal of the Association for Vascular Access 28, 3; 10.2309/JAVA-D-230002

Ashley E. Franklin
Citation: Journal of the Association for Vascular Access 28, 3; 10.2309/JAVA-D-230002

Eric B. Bauman
Citation: Journal of the Association for Vascular Access 28, 3; 10.2309/JAVA-D-230002

An educational column by

Health care professionals make a difference in patient care in many sustentative ways within the health care paradigm.^1–4 Statisticians, peer

Highlights

PIVCBC was acceptable among clinicians who frequently use PIVCs (>96% agreement).
PIVCBC was considered safe and easy to use.
PIVCBC allowed clinicians to maintain their usual PIVC insertion technique.

Abstract

Aim:

Acceptability, usability, and overall ease of use of a safety engineered peripherally inserted intravenous catheter with blood control septum (PIVCBC) were evaluated among clinicians who frequently use peripherally inserted intravenous catheters (PIVCs). This study was conducted in healthy subjects at a Phase 1 facility.

Methods:

Participating clinicians were ≥18 years of age, employed in a clinical setting, and performed ≥3 PIVC insertions per week. Each clinician completed 6 PIVCBC procedures on 2 to 4 healthy human subjects. Multiple trained observers documented how many attempts it took for the clinician to get a successful stick and what vein was selected for the procedure. Clinicians responded to yes/no questions and to Likert scale statements, describing their experiences with the PIVCBC after the procedures. Video recordings were used to observe procedures. Questionnaire data was summarized by frequency and percent of responses; analyses were conducted using binomial statistics.

Results:

Clinician agreement ranged from 83% to 97% for: able to observe primary and secondary flashbacks, able to use their regular PIVC insertion technique, found the catheter easy to insert, able to easily remove the needle from the catheter hub, believed the catheter would protect them from blood exposure during insertion, and able to flush the catheter. Overall, 96.7% of the clinicians found the PIVCBC to be acceptable.

Conclusions:

Overall, the PIVCBC was acceptable, easy to use, and allowed clinicians to maintain their usual PIVC insertion technique while they felt protected from blood exposure during insertion of the catheter.

Highlights

Frequent driveline (DL) dressing changes increase the risk of infection.
Dressings secured using gum mastic liquid adhesive were intact for at least 7 days.
Exit-site conditions were similar overall, except for drainage in the control group.
Improved dressing integrity resulted in a 14-week cost savings of $161.42/patient.
Patients using liquid adhesive reported more confidence in maintaining DL exit site.

Highlights

What we know about the topic:

Recommendations for the use of vascular access care bundles to reduce infection are followed for different devices.
The risk of arterial catheter-related infection is comparable with short-term, non-cuffed central venous catheters.
There are practice concerns for clinicians inserting and caring for peripheral arterial catheters.

What this paper adds:

The selected studies had a theme of decreased infection after using bundled strategies for all devices.
Few studies addressed use of bundles for care of peripheral arterial catheters.
High quality research should be performed about using care bundles for insertion and care of arterial catheters.

Abstract

Introduction:

A scoping review of the literature was performed.

Aims/Objectives:

To find information on the use of care bundles for care of arterial, central, and peripherally inserted venous catheters.

Methods:

Data was extracted by 2 independent researchers using standardized methodology

Results:

Results of 84 studies included 2 (2.4%) randomized controlled trials, 38 (45.2%) observational studies, 29 (34.5%) quality projects, and 15 (17.9%) reviews. Populations had more adults than pediatric patients. All studies had the most prominent theme of decreased infection in all devices after using bundle strategies.

Discussion and Conclusions:

The mapping of available evidence strongly supports the use of care bundles to reduce infection in the care of all intravascular devices. However, deficiencies regarding practice concerns about insertion and care of arterial catheters highlight areas for future research with the aim to eliminate the gap in the evidence of studies of care bundles for peripheral arterial catheters.

Increased Vascular Access Staffing as a Best Practice Intervention for Central Line Associated Bloodstream Infection Prevention

Luz Caicedo, MPH, CPH, CIC, CRCST, VA-BC

Correspondence concerning this article should be addressed to luz.caicedo@adventhealth.com

The aim of this study was to evaluate central line associated bloodstream infections over a 6-year period in a single community-based hospital by: (1) comparing central line associated bloodstream infection rates across an 8-hospital health care system; (2) identifying differing practices across the hospital system; and (3) implementing best prevention practice interventions to decrease infection rates.

Central line associated bloodstream infections in health care facilities are associated

A Quality Improvement PDSA to Evaluate the Effectiveness of Blood Diversion Using a Three-Way Connector During Blood Culture Collection

Justine MooreMSN, RN, VA-BC, CPHQ and

Kelsey P. McMahonBSN, RN, MSN/MBA (c)

Full Issue PDF

Erratum to ‘How to Perform a Successful Literature Search’ [J Assoc Vasc Access 28 (2023) 19–22]

President’s Message

Unsafe: Sutures as an Unnecessary Risk for Clinicians and Patients: Editor’s Message

Improvised Securement

How to Prepare for Advancement to Central Venous Access Device Insertion Beyond Peripherally Inserted Central Catheters: Socially Relevant

The Difference between Quality Improvement and Human Subject Research: Foundational Support

Clinician Acceptability of a Peripheral Intravenous Passive Safety Catheter with Blood Control: Practical Use Article

Highlights

Abstract

Aim:

Methods:

Results:

Conclusions:

Quality Improvement Project to Assess the Impact of Gum Mastic Liquid Adhesive on the Integrity and Durability of Driveline Dressings, Risk of Infection, and Patient Satisfaction

Highlights

Care Bundles and Peripheral Arterial Catheters: A Scoping Review ^CE

Highlights

Abstract

Introduction:

Aims/Objectives:

Methods:

Results:

Discussion and Conclusions:

2022 Association for Vascular Access Scientific Meeting: Poster Abstracts

A Quality Improvement PDSA to Evaluate the Effectiveness of Blood Diversion Using a Three-Way Connector During Blood Culture Collection

Midlines: Useful, Not Universal

A Guide to “Measures of Association” for Vascular Access Professionals: Foundational Support

Full Issue PDF

A Randomized Control Trial to Determine the Effect of Handball Exercise on Arteriovenous Fistula Maturation

Director's Message

President's Message

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