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Vascular Access/IV

Central venous access device locking practices in the adult critical care setting: a single-centre, observational study establishing duration of locking per catheter lumen

Results reveal that at least one lumen of the majority of central lines in the ICU is locked for longer than a third of the total time in situ. This is a much larger proportion of time than initially...

Disinfection of needleless connectors to reduce Staphylococcus aureus bacterial load

In this in vitro study, we compared the antimicrobial effectiveness of 4 disinfectants applied with sterile gauze: 70% IPA liquid (Rialcool®, Rioquímica), 70% ethanol liquid (Rialcool, Rioquímica),...

Tackling extravasation

We know that an extravasation injury may require surgical intervention, such as debridement and potentially lavage, with the subsequent risk of long-term consequences for the patient and costs to the...

The case for implementing nurse-led vascular access service teams

The first nurse-led hospital-wide vascular access service was set up in 1991 in Oxford. This service proved that the implementation of a VAST could lead to a radical reduction in infections and...

Barriers to and attitudes towards the use of safety engineered devices for paediatric cannulation in emergency care

One in three patients in the UK will have at least one cannula inserted during their stay in hospital (Royal College of Nursing, 2019). It is a procedure that is vitally important to get right, and to...

Why are nurses leaving?

The Nuffield Trust informs us what nurses, nurse managers, directors of nursing and chief nursing officers have known for some time: nurses are leaving the profession in droves (Palmer and Rolewicz,...

Nurses’ knowledge and experiences of peripheral intravenous catheter insertion at a tertiary paediatric health centre

The aim of the study was to determine paediatric nurses’ knowledge and experiences of PIVC insertion at a tertiary paediatric health centre..

Vascular access teams: a global outlook on challenges, benefits, opportunities, and future perspectives

Numerous vascular access devices (VADs) are placed worldwide annually,1 with up to 90% of all hospitalized patients undergoing catheter placement,2,3 resulting in substantial health care...

The benefits of vascular access service teams

Vascular access in all its forms is the most common, invasive procedure patients will experience in healthcare today. From obtaining blood samples to the delivery of intravenous therapy, vascular...

Chlorhexidine (di)gluconate locking device for central line infection prevention in intensive care unit patients: a multi-unit, pilot randomized controlled trial

A detailed protocol describing the study methods was published and is publicly accessible (Zamir et al, 2020)..

Enabling informed clinical choice: an NHS Supply Chain initiative

ICC has been developed to assist clinicians in the decision-making process in assessing the suitability of a product. The aim is to provide clinicians with clear illustrations and descriptions of the...

Alteplase for the treatment of midline catheter occlusions: a retrospective, single-cohort descriptive study

This study included 49 hospital admissions for 48 unique patients who received 50 midline catheters, experienced 53 midline catheter occlusion events, and received 59 alteplase administrations into...

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