A bundled approach to IV site care and maintenance
Dawn A. Smith, MSN, RN, CIC, CPHQ, NEA-BC - Director of Clinical Quality and Patient Safety, Baptist Medical Center Jacksonville Fl
- Sigma Affiliation
- Contributor Affiliation(s)
- Jacksonville University, Jacksonville, Florida, USA
- Baptist Medical Center, Jacksonville, Florida, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Smith, Dawn A. by View
Popular Works for Smith, Dawn A. by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Link - Use this link for citations and online mentions.
Hospitalized patients receiving medications intravenously are at increased risk for developing hospital associated infections (HAIs), including MRSA if their peripheral intravenous catheters are not maintained appropriately. These HAIs pose a financial burden to both patients and institutions and increased morbidity and mortality for the patient. A bundled set of evidence-based interventions was implemented on three acute care units as part of a quality improvement project. The aim of the project was to ensure proper care and maintenance of intravenous catheter devices. Interventions included a) consistent use of a phlebitis infiltration scale; b) maintaining a clean, dry, and intact dressing with a securement device; and c) using a disinfecting cap on all catheter hubs and tubing. Nursing staff were educated using huddles, purposeful rounding, posters, videos, and reminder cards. Compliance with the bundled elements was measured using an audit tool during weekly point prevalence rounds. Post implementation data showed a 65% reduction in MRSA incidence rates. The compliance scores for all elements increased, on average, by 58% from 34.5% to 92.5%. The results suggest that the implementation of a bundled approach to the care and maintenance of PIVCs is clinically effective at reducing the incidence of MRSA bacteremia.
Repository Posting Date
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Quality Improvement|
|Research Approach||Pilot/Exploratory Study|
|Keywords||Peripheral Intravenous Catheters;
PIVC Site Care and Maintenance;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Nursing care in peripheral intravenous catheter: Impact on microbiological profile Graveto, Joao Manuel; Santos, Daniela Vidal; Oliveira, Anabela de Sousa Salgueiro; Osorio, Nadia (2016-07-13)Session presented on Sunday, July 24, 2016: Purpose: The peripheral intravenous cannulation is the most common form of administration of intravenous therapy used in hospitals, being nurses the professional responsible for ...
The one million global peripheral intravenous catheter study: Findings from a large urban hospital Leveille, Marygrace; Ewalt-Hughes, Lori (2017-07-25)This educational activity will describe the participation of a large urban hospital in the United States participating in an international study involving more than 50 countries and 418 participating hospitals. The session ...
Influence of different climates on the replacement time of peripheral intravenous catheters: A meta-analysis Kuo, Chia-Chi (2018-06-28)This systematic review and meta-analysis included nine RCTs. The results showed that there was no significant difference in the risk ratio for phlebitis, local infection, bloodstream infection, and catheter occlusion, ...
Misconceptions about peripheral intravenous catheter complications rate based on insertion settings: A comprehensive literature review Kaziu, Ani; McNeil, Liam; Robishaw, Laura Lee; Luke, Erica Marie; Son, Elisha (2017-07-12)Purpose: With more than 300 million IV catheters sold and 60% to 90% of hospitalized patients requiring PIVC access in the United States, this intervention is the most common, invasive, patient procedure performed ...
Why do nurses come into contact with blood during intravenous catheter placement? Sumitani, Shotaro; Watanabe, Yoriko (2016-03-21)Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose: We elucidated the state of coming into contact with blood and related issues by observing nurses' intravenous placement skills with ...