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Vascular Access/IV

Preventing intravenous catheter-related bloodstream infections (CRBSIs)

In 2016-2017, there were an estimated 834 000 HCAIs in English hospitals alone, which was not only a figure close to treble that previously reported by the National Institute for Health and Care...

Case Studies

Intravenous (IV) access, both peripheral and central, is an integral part of the patient care pathways for diagnosing and treating cancer. Patients receiving systemic anticancer treatment (SACT) are...

Saving time when preparing intravenous antibiotics

The introduction of IV fluid containers and dedicated needle-free transfer devices like Ecoflac Connect would allow rapid reconstitution of IV antibiotic doses on the spot, as needed, without the need...

Integrated versus non-integrated peripheral intravenous catheters: a cross-sectional survey of nurse experiences

This study aimed to assess nurse-reported acceptability of the integrated PIVC systems. Primarily, the nurses providing feedback were not vascular access specialists but they were routinely required...

Evaluation of the difficult intravenous access (DIVA) scoring in hospitalized pediatric patients

A limitation of the project was the use of convenience versus consecutive sampling. Convenience sampling was chosen because of the voluntary nature of staff completing the data collection form prior...

Supporting clinical competency in managing peripherally inserted central catheters during the COVID-19 pandemic: an education evaluation

The goal of evaluation for training programs is to show that there is a shift from knowledge to practice. With this initial evaluation, results show a significant decrease in requests for PICC...

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,...

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