2.50
Hdl Handle:
http://hdl.handle.net/10755/164184
Category:
Abstract
Type:
Presentation
Title:
Evidence Based Practice in Infusion Nursing
Author(s):
Earhart, Ann; Kaminski, Darlene
Author Details:
Ann Earhart, MSN, RN, CRNI, Banner Desert Medical Center, Mesa, Arizona, USA, email: nacnsorg@nacns.org; Darlene Kaminski, RN, CRNI
Abstract:
Purpose: Discuss the evolution of infusion therapy to the current process of vascular access and its impact on patient outcomes and satisfaction. Discuss the role of the Clinical Nurse Specialist in infusion therapy, increasing patient satisfaction and increasing patient outcomes. Significance: In today's healthcare environment, 90% of all hospitalized patients receive some type of intravenous therapy. This therapy can be nutrition, chemotherapy, hydration, electrolyte therapy, antibiotics, or a combination of therapies. Patient venous access varies from poor vein quality and poor circulation to good vein quality with excellent blood flow. Clinicians are currently infusing over 500 injectable drugs. Background/Design: As health care providers, we must have a good understanding of vascular access. Due to drug composition, some conventional peripheral IVs do not last 72 hours. In fact, many conventional peripheral IVs only last 6-8 hours in a patient's vein before complications occur. Methods: In a 600+ bed metropolitan hospital, a CNS lead a team of physicians, infection control nurses and staff. The team assessed current practice and available resources, collected data on peripheral IV sites and central lines, including PICCs. Patient satisfaction scores were monitored. Findings: Tools were evaluated and developed for evaluation of vascular access and are currently being implemented. SWAT type nurses that started IV's and PICC nurses were combined into one team, to form a vascular access team. Nurses are being mentored at the bedside for IV starts for competencies. Policies are being revised to decrease pain and attempts for IV starts. Conclusions: The key driver of this project was the CNS. Many facilities have infusion teams, and vascular access teams, but a team lead by a CNS that promotes collecting data, and using the evidenced based practice, outcomes were monitored. Patient satisfaction is increasing, nurse satisfaction is increasing. Implications for Practice: The role of the CNS in the development of this vascular access team was key. Assessment, evaluation, implementation, and re-evaluation of any problem and process is the role of the CNS.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEvidence Based Practice in Infusion Nursingen_GB
dc.contributor.authorEarhart, Annen_US
dc.contributor.authorKaminski, Darleneen_US
dc.author.detailsAnn Earhart, MSN, RN, CRNI, Banner Desert Medical Center, Mesa, Arizona, USA, email: nacnsorg@nacns.org; Darlene Kaminski, RN, CRNIen_US
dc.identifier.urihttp://hdl.handle.net/10755/164184-
dc.description.abstractPurpose: Discuss the evolution of infusion therapy to the current process of vascular access and its impact on patient outcomes and satisfaction. Discuss the role of the Clinical Nurse Specialist in infusion therapy, increasing patient satisfaction and increasing patient outcomes. Significance: In today's healthcare environment, 90% of all hospitalized patients receive some type of intravenous therapy. This therapy can be nutrition, chemotherapy, hydration, electrolyte therapy, antibiotics, or a combination of therapies. Patient venous access varies from poor vein quality and poor circulation to good vein quality with excellent blood flow. Clinicians are currently infusing over 500 injectable drugs. Background/Design: As health care providers, we must have a good understanding of vascular access. Due to drug composition, some conventional peripheral IVs do not last 72 hours. In fact, many conventional peripheral IVs only last 6-8 hours in a patient's vein before complications occur. Methods: In a 600+ bed metropolitan hospital, a CNS lead a team of physicians, infection control nurses and staff. The team assessed current practice and available resources, collected data on peripheral IV sites and central lines, including PICCs. Patient satisfaction scores were monitored. Findings: Tools were evaluated and developed for evaluation of vascular access and are currently being implemented. SWAT type nurses that started IV's and PICC nurses were combined into one team, to form a vascular access team. Nurses are being mentored at the bedside for IV starts for competencies. Policies are being revised to decrease pain and attempts for IV starts. Conclusions: The key driver of this project was the CNS. Many facilities have infusion teams, and vascular access teams, but a team lead by a CNS that promotes collecting data, and using the evidenced based practice, outcomes were monitored. Patient satisfaction is increasing, nurse satisfaction is increasing. Implications for Practice: The role of the CNS in the development of this vascular access team was key. Assessment, evaluation, implementation, and re-evaluation of any problem and process is the role of the CNS.en_GB
dc.date.available2011-10-27T11:43:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:36Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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