Objectives: To evaluate the effect of topically applied black pepper essential oil on easing intravenous catheter insertion (IVC) in patients with no palpable or visible veins compared to a control group (standard nursing practice). Design: Randomized, controlled study. Subjects: One hundred twenty hospitalized patients, who were referred to a hospital vascular team because of difficulty in accessing veins for IVC insertion.Interventions: Topical application of 20% essential oil of black pepper in aloe vera gel or standard nursing care (hot packs with or without vigorous tactile stimulation). Outcome Measures: Pre-and post-test vein visibility and/or palpability and number of attempts at IVC insertion. Results: A higher percentage of patients achieved optimal scoring (vein score = 2) or improved scoring (vein score of 1 or 2) to black pepper intervention than standard nursing care. The black pepper group also reduced the number of patients whose veins were still not visible or palpable after the intervention to nearly half that of the control group ( p < 0.05). The number of IVC attempts following black pepper was also half that of the control group. Conclusion: Topical application of black pepper is a viable and effective way to enhance vein visibility and palpability prior to intravenous insertion in patients with limited vein accessibility; it also improves ease of IVC insertion.

Converting a traditional intravenous (IV) team to a vascular resource team improves patient outcomes by empowering nurses to implement an evidence-based practice model of care. This model encourages staff nurses to learn comprehensive vascular care through education and training regarding access devices and IV therapy. Vascular resource nurses teach bedside nurses regarding best practice care for patients with complex vascular needs. This allows bedside nurses to become confident and competent in their vascular skills and knowledge. These improvements can lead to decreased catheter-related bloodstream infection rates and increased patient satisfaction scores. This article identifies best practices implemented in establishing and maintaining an effective vascular resource team.

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