2.50
Hdl Handle:
http://hdl.handle.net/10755/165078
Category:
Abstract
Type:
Presentation
Title:
REDUCING THE INCIDENCE OF PHLEBITIS IN GI SURGERY UNIT: NURSE'S ROLE
Author(s):
Mullen, Ellen; Mullen, Daniel
Author Details:
Ellen Mullen, RN, BS, NA, NPG, NP, Advanced Practice Nurse, MD Anderson Cancer Center, Houston, Texas, USA, email: ellenmullen111@yahoo.com; Daniel Mullen, RN, AND
Abstract:
Phlebitis is the most common complication of intravenous infusion and its reported incidence varies between 30 and 70% of infusions. Many factors contribute to its development, which makes prevention difficult. In the oncology surgical setting, patients are admitted with multiple IV sites post-operatively. Most of the time, patients already have fragile veins from previous chemotherapy treatment of their cancer. This makes it very important for nurses to preserve the IV sites. However, preserving the IV can lead to more problems. Nurses must be knowledgeable on how to assess and recognize signs of phlebitis. The monitoring of the IV sites is only done once per shift. Due to increased incidence of phlebitis and knowing that prevention can prevent further complications, frequent monitoring of IV sites has been implemented. The purpose of this project is to reduce the incidence of phlebitis through frequent monitoring of IV sites. All patients admitted from Post-anesthesia care unit will be assessed by a registered nurse and all IV sites will be documented. The nurse's role in the prevention of phlebitis includes baseline assessment of IV sites and documenting the grading criteria. Frequent monitoring is defined as every 4 hrs instead of once per shift. All peripheral IVs should be flushed daily and documented in the medication administration record. Once symptom of phlebitis occurs, the nurse must monitor the site very closely and if continues to progress (redness and warmth, edema and even fever), the IV needs to be removed immediately and the primary team is notified. Warm moist compress over 72 hrs is the best treatment along with nonsteroidal anti-inflammatory drugs (if ordered). The overall goal of the project is to reduce the incidence of phlebitis through frequent monitoring of IV sites. The nurse should be able to identify early signs of phlebitis and know when to remove the IV catheter and when to notify the primary team. The presentation will include discussion of causes of phlebitis, grading criteria, and nursing interventions in the prevention and management of phlebitis. The nursing implication is including checking IV sites as part of vital signs and proper documentation.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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 INCIDENCE OF PHLEBITIS IN GI SURGERY UNIT: NURSE'S ROLEen_GB
dc.contributor.authorMullen, Ellenen_US
dc.contributor.authorMullen, Danielen_US
dc.author.detailsEllen Mullen, RN, BS, NA, NPG, NP, Advanced Practice Nurse, MD Anderson Cancer Center, Houston, Texas, USA, email: ellenmullen111@yahoo.com; Daniel Mullen, RN, ANDen_US
dc.identifier.urihttp://hdl.handle.net/10755/165078-
dc.description.abstractPhlebitis is the most common complication of intravenous infusion and its reported incidence varies between 30 and 70% of infusions. Many factors contribute to its development, which makes prevention difficult. In the oncology surgical setting, patients are admitted with multiple IV sites post-operatively. Most of the time, patients already have fragile veins from previous chemotherapy treatment of their cancer. This makes it very important for nurses to preserve the IV sites. However, preserving the IV can lead to more problems. Nurses must be knowledgeable on how to assess and recognize signs of phlebitis. The monitoring of the IV sites is only done once per shift. Due to increased incidence of phlebitis and knowing that prevention can prevent further complications, frequent monitoring of IV sites has been implemented. The purpose of this project is to reduce the incidence of phlebitis through frequent monitoring of IV sites. All patients admitted from Post-anesthesia care unit will be assessed by a registered nurse and all IV sites will be documented. The nurse's role in the prevention of phlebitis includes baseline assessment of IV sites and documenting the grading criteria. Frequent monitoring is defined as every 4 hrs instead of once per shift. All peripheral IVs should be flushed daily and documented in the medication administration record. Once symptom of phlebitis occurs, the nurse must monitor the site very closely and if continues to progress (redness and warmth, edema and even fever), the IV needs to be removed immediately and the primary team is notified. Warm moist compress over 72 hrs is the best treatment along with nonsteroidal anti-inflammatory drugs (if ordered). The overall goal of the project is to reduce the incidence of phlebitis through frequent monitoring of IV sites. The nurse should be able to identify early signs of phlebitis and know when to remove the IV catheter and when to notify the primary team. The presentation will include discussion of causes of phlebitis, grading criteria, and nursing interventions in the prevention and management of phlebitis. The nursing implication is including checking IV sites as part of vital signs and proper documentation.en_GB
dc.date.available2011-10-27T12:12:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:08Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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