Maneuvers to Facilitate Central Venous Catheter Advancement in the Clavicular Region: An Integrative Review
In many situations, central venous catheters (CVCs), inserted by central or peripheral venipuncture, do not progress, even after performing some movement of the shoulder, head, and neck. This integrative review aimed to verify the scientific evidence about maneuvers to facilitate the advancement of CVCs in the clavicular region and/or shoulder in adult, pediatric, and neonatal patients. Primary studies with available electronic abstracts, independent of idiom or publication year, for which results showed aspects related to descriptions of maneuvers for CVC advancement in the clavicular region and shoulder, were included in...
Source: Journal of Infusion Nursing - November 1, 2022 Category: Nursing Tags: Features Source Type: research
Effects of Dimensional Analysis on Infusible Medication Calculation Skills Among Nursing Students in an Intensive Care Unit
This study was conducted to determine the effects of dimensional analysis on the infusible medication calculation skills among nursing students in ICUs. In this quasi-experimental study, the research samples consisted of sixth-semester nursing students who were assigned to an intervention group (n = 34) and a control group (n = 32). For the intervention group, the calculations of common infusible drugs in the ICU were taught using the dimensional analysis method, whereas the control group received training without the dimensional analysis method. Data collection instruments included a demographic characteristics questionna...
Source: Journal of Infusion Nursing - November 1, 2022 Category: Nursing Tags: Features Source Type: research
Peripheral Intravenous Catheter Insertion Competence and Confidence in Medical/Surgical Nurses
The objective of this study was to implement an evidence-based practice project to improve peripheral intravenous catheter (PIVC) insertion confidence and competence and to improve first-attempt success. The researcher used a blended online learning module and live simulation to increase PIVC insertion confidence and competence. Internal application of a blended curriculum model improved the first-attempt PIVC insertion success of nurses. A validated confidence assessment was completed by participants (n = 38) preintervention, immediately postintervention, and 30 days postintervention. A Mann-Whitney U test determined that...
Source: Journal of Infusion Nursing - November 1, 2022 Category: Nursing Tags: Features Source Type: research
Reduction of Infusion Time Using a 10% Intravenous Immunoglobulin Formulation With a 15-Minute Rate Escalation Protocol During Staffing Shortages Due to COVID-19
The COVID-19 pandemic changed home infusion nursing dramatically by increasing demand for home infusion nurses while decreasing their availability. Home infusion of intravenous immunoglobulin (IVIg) is an option for treatment of numerous conditions and requires considerable infusion time. Use of a higher-concentration IVIg product and shorter escalation increments may decrease required infusion time. The authors conducted a retrospective database analysis that identified 23 patients receiving IVIg before transitioning to a 10% IVIg product with a 15-minute rate escalation protocol (Gammaplex 10% IVIg) and evaluated the tot...
Source: Journal of Infusion Nursing - November 1, 2022 Category: Nursing Tags: Features Source Type: research
Turning the Page
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - November 1, 2022 Category: Nursing Tags: Departments: Editorial Source Type: research
Nursing Continuing Professional Development for Nursing Contact Hours and CRNI® Recertification Units
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Departments: Nursing Continuing Professional Development Source Type: research
A Retrospective Assessment of Midline Catheter Failures Focusing on Catheter Composition
Vascular access specialists are responsible for assessing the patient in their unique situation and determining the correct vascular access device to complete the therapeutic goal without complication or failure. This retrospective cohort study compared the failure rates of a variety of polyurethane (PU) midline catheters and a midline catheter constructed of an emerging hydrophilic biomaterial (HBM). A total of 205 patients received a midline catheter and were situationally randomized by the facility where they received it. Patients who had received a midline catheter between March 2021 and May 2021 were assessed for cath...
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Features Source Type: research
Transfusion-Associated Adverse Events: A Case Report of Nurse Hemovigilance and Recognition of Respiratory Distress
Although blood transfusions are considered a potentially life-saving therapy, noninfectious and infectious adverse events can lead to significant morbidities and even mortality. Vital signs and visual observation of patients during blood transfusions are thoroughly taught in nursing school. Updated terms of hemovigilance and transfusion-associated adverse events (TAAEs) are presented through this case study. A patient with factor V deficiency, which requires chronic plasma transfusions, experienced 2 types of TAAEs, anaphylaxis and transfusion-associated circulatory overload. The patient's history and TAAEs are presented a...
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Features Source Type: research
Implementation of an Evidence-Based Practice Change Removing Heparin From Implanted Vascular Access Devices
The objective of this article was to describe the implementation and outcomes of an evidence-based practice change to remove heparin from implanted vascular access device (IVAD) management. An extensive search of the literature was performed, and articles were appraised and synthesized to determine the best practice. A common theme emerged from the literature, showing that 0.9% sodium chloride alone can be as effective as heparin in preventing occlusion in IVADs. In this nurse-led initiative, heparin was successfully removed from the IVAD deaccess process and replaced with a 0.9% sodium chloride flush using a pulsatile flu...
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Features Source Type: research
Effect of Fist Clenching on Vein Visibility and Palpability: An Observational Descriptive Study
In this study, the researchers aimed to determine the average number and duration of fist clenching to increase vein visibility and palpability before peripheral intravenous catheter insertion. This observational study included 207 healthy individuals. Participants meeting the inclusion criteria were asked to perform fist clenching. The number and duration of fist clenches performed to increase dorsal metacarpal vein and cephalic vein grade were determined. The participants carried out fist clenching 7.57 ± 4.26 times for the first increase and 22.16 ± 7.93 times for the second increase in dorsal metacarpal vein grade. F...
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Features Source Type: research
Changing the Buffer in Buffered Lidocaine
This study assessed how lidocaine buffered with bicarbonate compares with lidocaine buffered with saline in minimizing pain with lidocaine injection. Sixty patients received the buffered lidocaine before having a peripherally inserted central catheter inserted. Thirty patients received lidocaine buffered with bicarbonate and 30 patients received lidocaine buffered with saline. Pain and vasoconstriction were the 2 outcomes monitored during the project. Although the trial was only 2 wk due to the urgency of the rollout, the pilot was able to offer clinicians the opportunity to compare the 2 products. The saline-buffered lido...
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Features Source Type: research
Transparency in Error Reporting
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - September 1, 2022 Category: Nursing Tags: Departments: Editorial Source Type: research
Midline Catheters: Could They Replace a Central Vascular Access Device?
In the past 30 years, midline catheter use has grown rapidly. For several reasons, many providers and facilities are attempting to reduce the number of central venous catheters and subsequent central line–associated bloodstream infections (CLABSIs) by using midline catheters. Vessel preservation requires attention to all vascular access device (VAD)-associated complications and not only central line bloodstream infection. There is still much confusion about the appropriate tip location and the characteristics of fluids and medications that can safely be infused through a midline catheter residing in a peripheral vein. Th...
Source: Journal of Infusion Nursing - July 1, 2022 Category: Nursing Tags: Features Source Type: research
Keeping Patients Safer: Reviewing Predictors of Success and Failure of Short Peripheral Intravenous Catheters
In 2014, a large urban community hospital adopted protected clinical indication practices as a quality improvement project. It then undertook a research study to examine bedside practices with short peripheral catheters, which included direct observation at the bedside once weekly for 6 months. A total of 4305 catheters were observed and remained in place for a total of 23 423 days. Fifty six percent of devices remained in place beyond 96 hours. The overall rate of peripheral bloodstream infection in patients enrolled in the study was 0.12/1000 peripheral intravenous days. Significant differences were noted based on which ...
Source: Journal of Infusion Nursing - July 1, 2022 Category: Nursing Tags: Features Source Type: research
Patient Experience With Vascular Access Management Informs Satisfaction With Overall Hospitalization Experience: Erratum
No abstract available (Source: Journal of Infusion Nursing)
Source: Journal of Infusion Nursing - July 1, 2022 Category: Nursing Tags: Erratum Source Type: research
