Reducing the Risk of Heparin Induced Thrombocytopenia: Oncology Nurses Catalysts for Change at the Bedside

2.50
Hdl Handle:
http://hdl.handle.net/10755/164616
Category:
Abstract
Type:
Presentation
Title:
Reducing the Risk of Heparin Induced Thrombocytopenia: Oncology Nurses Catalysts for Change at the Bedside
Author(s):
Somayaji, Darryl; Coyne, Margarita; Kumpf, Rose; Privitere, Lisa; McVey, JoAnne; Abbotoy, JoAnne; Benz, Barbara
Author Details:
Darryl Somayaji, MSN, RN, CCRC, Clinical Nurse Specialist, Roswell Park Cancer Institute, Buffalo, New York, USA, email: darrylynn4@yahoo.com; Margarita Coyne, RN, BSN; Rose Kumpf, RN, BSN; Lisa Privitere, RN, BSN; JoAnne McVey, RN, NP; JoAnne Abbotoy, RN, BSN; Barbara Benz, RN, MS
Abstract:
Clinical/Evidence Based Practice: Peripheral and central venous catheter lines are frequently used to infuse a variety of solutions, and withdraw blood samples for the oncology patient. Maintenance of the intravenous catheter is important to deliver safe effect treatment and therapy as well as maintain comfort for the patient. A heparin ôlockö has been used to preserve the patency of many of the intravenous catheter lines. One of the risks of using heparin is Heparin Induced Thrombocytopenia (HIT). Reducing the risk of HIT by minimizing or eliminating the use of heparin in oncology settings whenever possible is an option that still needs further exploration. Oncology nurses at the bedside are instrumental in evaluating current practice and procedures that impact patient outcomes. The plan is to evaluate the use of saline flushes in combination with neutral pressure intravenous connectors on peripheral lines, and central venous lines with the exception of mediports. Transforming care at the beside occurs by empowering nursing staff to participate in the development, implementation and evaluation of products and procedures. Nurse leaders, nursing staff, and multidisciplinary team member strategies were: 1) review the literature regarding heparin flush versus saline flush; 2) review the literature on positive, negative, and neutral pressure intravenous catheter connectors; 3) develop an evaluation sheet to assess: catheter patency, catheter occlusions, blood clot dissolving agents , use of neutral intravenous line connectors, nurse and patient satisfaction; 4) education sessions implementation regarding literature review, neutral intravenous line connector, product and practice evaluations; and 5) dissemination of results of evaluation to nursing staff. This is on ongoing evaluation process beginning in June 2008. Unit surveys have been collected at various time points. Based on data collected, there are future plans to investigate outcomes through a research study. Nurses are essential for assessing the needs of the patient, and have a vital role in implementing changes that impact patient safety. Oncology nurses work in a specialty where change occurs regularly as we consider the dynamics of cancer care. The HIT project illustrates the importance of the bedside nurse together with the collaboration of a multi-disciplinary team approach to improve patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, 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.titleReducing the Risk of Heparin Induced Thrombocytopenia: Oncology Nurses Catalysts for Change at the Bedsideen_GB
dc.contributor.authorSomayaji, Darrylen_US
dc.contributor.authorCoyne, Margaritaen_US
dc.contributor.authorKumpf, Roseen_US
dc.contributor.authorPrivitere, Lisaen_US
dc.contributor.authorMcVey, JoAnneen_US
dc.contributor.authorAbbotoy, JoAnneen_US
dc.contributor.authorBenz, Barbaraen_US
dc.author.detailsDarryl Somayaji, MSN, RN, CCRC, Clinical Nurse Specialist, Roswell Park Cancer Institute, Buffalo, New York, USA, email: darrylynn4@yahoo.com; Margarita Coyne, RN, BSN; Rose Kumpf, RN, BSN; Lisa Privitere, RN, BSN; JoAnne McVey, RN, NP; JoAnne Abbotoy, RN, BSN; Barbara Benz, RN, MSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164616-
dc.description.abstractClinical/Evidence Based Practice: Peripheral and central venous catheter lines are frequently used to infuse a variety of solutions, and withdraw blood samples for the oncology patient. Maintenance of the intravenous catheter is important to deliver safe effect treatment and therapy as well as maintain comfort for the patient. A heparin ôlockö has been used to preserve the patency of many of the intravenous catheter lines. One of the risks of using heparin is Heparin Induced Thrombocytopenia (HIT). Reducing the risk of HIT by minimizing or eliminating the use of heparin in oncology settings whenever possible is an option that still needs further exploration. Oncology nurses at the bedside are instrumental in evaluating current practice and procedures that impact patient outcomes. The plan is to evaluate the use of saline flushes in combination with neutral pressure intravenous connectors on peripheral lines, and central venous lines with the exception of mediports. Transforming care at the beside occurs by empowering nursing staff to participate in the development, implementation and evaluation of products and procedures. Nurse leaders, nursing staff, and multidisciplinary team member strategies were: 1) review the literature regarding heparin flush versus saline flush; 2) review the literature on positive, negative, and neutral pressure intravenous catheter connectors; 3) develop an evaluation sheet to assess: catheter patency, catheter occlusions, blood clot dissolving agents , use of neutral intravenous line connectors, nurse and patient satisfaction; 4) education sessions implementation regarding literature review, neutral intravenous line connector, product and practice evaluations; and 5) dissemination of results of evaluation to nursing staff. This is on ongoing evaluation process beginning in June 2008. Unit surveys have been collected at various time points. Based on data collected, there are future plans to investigate outcomes through a research study. Nurses are essential for assessing the needs of the patient, and have a vital role in implementing changes that impact patient safety. Oncology nurses work in a specialty where change occurs regularly as we consider the dynamics of cancer care. The HIT project illustrates the importance of the bedside nurse together with the collaboration of a multi-disciplinary team approach to improve patient care.en_GB
dc.date.available2011-10-27T12:03:56Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:03:56Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, 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.-
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