The Use of IV Start Cards and the Peripheral Intravenous (PIV) Data Collection Tool for Quality Monitoring

2.50
Hdl Handle:
http://hdl.handle.net/10755/308708
Category:
Abstract
Type:
Presentation
Title:
The Use of IV Start Cards and the Peripheral Intravenous (PIV) Data Collection Tool for Quality Monitoring
Author(s):
Michaud, Debbie; Hyrkas, Kristiina
Lead Author STTI Affiliation:
Non-member
Author Details:
Debbie Michaud, RN, michad3@mmc.org; Kristiina Hyrkas, PhD, LicNSc, MNSc, RN
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

Aims: (1) To use evidence-based approach to collect and analyze data about peripheral intravenous (PIV) insertions in an adult inpatient population. (2) To demonstrate the importance of continuous quality improvement monitoring using standardized data collection tools over time.

Background: IV starts are every day occurrences for nurses and patients in acute care hospitals. Quality indicators such as number of attempts, initiating timely therapy and monitoring untoward events require continuous monitoring. The primary investigator developed a data collection tool (IV Start card) to monitor quality indicators for IV starts.  The Peripheral IV scale developed and validated by Gallant (2006) was used with the IV card to further identify untoward events.

Evaluation: Use of the IV card has allowed us to evaluate and continuously monitor the quality of IV insertions and implement education and practice changes if indicated.

Key Issues/Results: Initial IV card data showed nurses inserted PIVs on the first insertion 54% of the time; and >70% of nurses were able to start the IV with one attempt (M=1.7).  All units showed >86.5% success rate with IV starts. This information was useful in the event of recent practice changes, in which a different type of IV catheter was introduced. Quality monitoring was utilized to identify specific areas of concern including leaking, reduced IV dwell time, and increased phlebitis rates. The IV card and PIV data showed IV insertion success rate decreased to 40% and therapy was delayed in 34% of patients with the introduction of a new IV catheter. These problems persisted beyond a 6-month staff education and resulted in re-evaluation of the use of the product.

Implications for future: Using the described process and data collection tools helped to quickly identify changes in PIV quality indicators and to obtain objective data for improving and modifying practice.

Keywords:
Quality Improvement; Periferial IV Insertion; Continuous Quality Monitoring
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Use of IV Start Cards and the Peripheral Intravenous (PIV) Data Collection Tool for Quality Monitoringen_GB
dc.contributor.authorMichaud, Debbieen_GB
dc.contributor.authorHyrkas, Kristiinaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsDebbie Michaud, RN, michad3@mmc.org; Kristiina Hyrkas, PhD, LicNSc, MNSc, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308708-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p><b>Aims: </b>(1) To use evidence-based approach to collect and analyze data about peripheral intravenous (PIV) insertions in an adult inpatient population. (2) To demonstrate the importance of continuous quality improvement monitoring using standardized data collection tools over time.<b></b><p><b>Background: </b>IV starts are every day occurrences for nurses and patients in acute care hospitals. Quality indicators such as number of attempts, initiating timely therapy and monitoring untoward events require continuous monitoring. The primary investigator developed a data collection tool (IV Start card) to monitor quality indicators for IV starts.  The Peripheral IV scale developed and validated by Gallant (2006) was used with the IV card to further identify untoward events. <p><b>Evaluation: </b>Use of the IV card has allowed us to evaluate and continuously monitor the quality of IV insertions and implement education and practice changes if indicated. <p><b>Key Issues/Results: </b>Initial IV card data showed nurses inserted PIVs on the first insertion 54% of the time; and >70% of nurses were able to start the IV with one attempt (<i>M</i>=1.7).  All units showed >86.5% success rate with IV starts. This information was useful in the event of recent practice changes, in which a different type of IV catheter was introduced. Quality monitoring was utilized to identify specific areas of concern including leaking, reduced IV dwell time, and increased phlebitis rates. The IV card and PIV data showed IV insertion success rate decreased to 40% and therapy was delayed in 34% of patients with the introduction of a new IV catheter. These problems persisted beyond a 6-month staff education and resulted in re-evaluation of the use of the product. <p><b>Implications for future: </b>Using the described process and data collection tools helped to quickly identify changes in PIV quality indicators and to obtain objective data for improving and modifying practice.en_GB
dc.subjectQuality Improvementen_GB
dc.subjectPeriferial IV Insertionen_GB
dc.subjectContinuous Quality Monitoringen_GB
dc.date.available2013-12-19T17:35:02Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:35:02Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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