2.50
Hdl Handle:
http://hdl.handle.net/10755/182699
Category:
Abstract
Type:
Presentation
Title:
Groundbreaking Practice: Meeting the Vascular Access Needs of Bariatric Patients
Author(s):
Bullock Corkhill, Melody; Cothren, Kerry
Author Details:
Melody Bullock Corkhill, RN, CRNI, Moses Cone Health System, Greensboro, North Carolina, USA, email: melody.corkhill@mosescone.com; Kerry Cothren, RN II
Abstract:
Poster Presentation: While caring for the bariatric patient population in our hospital, we found that current literature and national standards do not address nor support the unique vascular access challenges of obese patients. Our procedures for initiating both peripheral IVs and PICCs (peripherally inserted central catheters) were derived from national standards based on normal body mass index. By using current national measurement and practice standards, our successful PICC insertion rate was falling and our peripheral IV complication rates (infiltration and extravasation) were rising in these patients. In a quest to provide excellent care to our bariatric patients, we embarked on defining best practices related to new techniques and measurement standards that would result in improved vascular outcomes. We applied the Magnet Forces of Quality Improvement and Quality of Care to guide our query. The results of our quality improvement project led us away from current national practice standards and resulted in new methods of assessment, treatment, and line placement techniques including: 1) Utilization of new measurement techniques (both arithmetic formulas and anatomical measurements) to place PICCs 2) new assessment techniques for peripheral IV access. 3) Changes in equipment and supplies. When these procedural changes were applied to bariatric patients, our PICC insertion success rate improved from 50% to 96% and our Peripheral IV complication rate decreased from 48% to 20%.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleGroundbreaking Practice: Meeting the Vascular Access Needs of Bariatric Patientsen_GB
dc.contributor.authorBullock Corkhill, Melodyen_US
dc.contributor.authorCothren, Kerryen_US
dc.author.detailsMelody Bullock Corkhill, RN, CRNI, Moses Cone Health System, Greensboro, North Carolina, USA, email: melody.corkhill@mosescone.com; Kerry Cothren, RN IIen_US
dc.identifier.urihttp://hdl.handle.net/10755/182699-
dc.description.abstractPoster Presentation: While caring for the bariatric patient population in our hospital, we found that current literature and national standards do not address nor support the unique vascular access challenges of obese patients. Our procedures for initiating both peripheral IVs and PICCs (peripherally inserted central catheters) were derived from national standards based on normal body mass index. By using current national measurement and practice standards, our successful PICC insertion rate was falling and our peripheral IV complication rates (infiltration and extravasation) were rising in these patients. In a quest to provide excellent care to our bariatric patients, we embarked on defining best practices related to new techniques and measurement standards that would result in improved vascular outcomes. We applied the Magnet Forces of Quality Improvement and Quality of Care to guide our query. The results of our quality improvement project led us away from current national practice standards and resulted in new methods of assessment, treatment, and line placement techniques including: 1) Utilization of new measurement techniques (both arithmetic formulas and anatomical measurements) to place PICCs 2) new assessment techniques for peripheral IV access. 3) Changes in equipment and supplies. When these procedural changes were applied to bariatric patients, our PICC insertion success rate improved from 50% to 96% and our Peripheral IV complication rate decreased from 48% to 20%.en_GB
dc.date.available2011-10-28T15:36:06Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:36:06Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_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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