Intravenous Therapy

Dychter, Samuel S.; Gold, David; Carson, Deborah Stier; Haller, Michael

doi:10.1097/nan.0b013e31824237ce

Cited by 184 publications

(75 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is frequently one of the first procedures that must be mastered and is critically important in patient care for the delivery of medication and other therapeutic interventions [4]. Peripheral IV catheter placement is the most common procedure performed in the emergency department with over 40% of its patients requiring blood tests and 25% receiving IV fluids [5]. It is essential for a wide variety of therapeutic interventions including hydration, electrolyte replacement, antibiotic therapy, parenteral nutrition, delivery of contrast agents, and anesthesia [5-6].…”

Section: Introductionmentioning

confidence: 99%

Successful intravenous catheterization by medical students

Woelfel

Takabe

2016

Journal of Surgical Research

View full text Add to dashboard Cite

Background Intravenous (IV) catheter placement is one of the most basic and essential medical procedures. However, IV placement can be a source of anxiety for medical students as it is often their first procedural patient care. We sought to investigate the factors that impact the success rate of this skill and to determine at what rate students improve. Materials and methods A confidential web-based survey was distributed to a total of 367 third and fourth year students at Virginia Commonwealth University School of Medicine. The responses were collected over a 2-week period in July 2015. Results The response rate was 49.0% (180/367). 65.5% of the M3s and 21.8% of the M4s have never had an opportunity to place an IV. The success rate was higher in students with prior experience as laboratory researchers (86.6%, p=0.014) as well as Emergency Medical Technicians (81.4%, p=0.038) when compared to students with no experience. Prior preparation such as reading, watching videos or even lectures did not increase the success rate. Success rates rapidly improved from 47% for the first attempt to 86% for the fifth attempts. Conclusion A significant percentage of students did not have opportunities to attempt IV catheter placement. We found prior experience, not only as an EMT but also as a lab researcher, significantly increased the success rate. Prior preparations did not improve success rate and most of the students were successful after only 5 attempts.

show abstract

Section: Introductionmentioning

confidence: 99%

Successful intravenous catheterization by medical students

Woelfel

Takabe

2016

Journal of Surgical Research

View full text Add to dashboard Cite

show abstract

“…By the 1990s, greater than 85 percent of inpatients in the US received IV therapy (Dychter et al, 2012). Today, approximately 200 million peripheral IV catheters are used yearly in the US alone (Maki, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Indications for intravenous therapy include administration of intravenous medications and fluids, giving of parenteral nutrition, and provision of blood and blood products during acute, perioperative, and emergency situations (Waitt, Waitt, & Pirmohamed, 2004;Dychter, Gold, Carson, & Haller, 2012).…”

Section: Introductionmentioning

confidence: 99%

Phlebitis, Infiltration, and Localized Site Infection Among Patients With Peripheral Intravenous Catheters

Gargar

Cutamora

Abocejo

2017

ESJ

View full text Add to dashboard Cite

This study examined the occurrence of phlebitis, infiltration, and localized site infection between standard replacement (control group) and clinically indicated replacement (experimental group) among patients with peripheral IV catheters. We utilized a two-group, post-test only, randomized experimental design in a level 4 tertiary hospital in Cebu for a period of 30 days. A total of 80 participants who passed the selection criteria were chosen and equally divided into 2 groups of 40 members each using randomization. The control group had their peripheral IV catheters changed every 3 days while the experimental group had their peripheral IV catheters replaced only in the presence of complications. The outcome variables for the study were phlebitis, infiltration, and localized site infection. Findings revealed that the standard replacement group had a higher prevalence rate of complications compared to the clinically indicated replacement group. Moreover, patients who stayed for 7-14 days had an increased likelihood of developing phlebitis and infiltration compared to those who remained for 4-6 days. Remarkably, peripheral IV catheters inserted by physicians had a higher rate of infiltration compared to nurses. Furthermore, nurses who had 2 years of experience were found to have lower incidence of phlebitis compared to those who had 3 years of experience. In conclusion, the risk of developing phlebitis and infiltration was not increased when peripheral IV catheters were replaced on a clinical-need rather than on a routine basis. Hospitals should consider

show abstract

“…Many of these individual factors hold significant patient safety implications that, if improved, would positively impact common PIVC complications, such as phlebitis or infiltration. 30,31 Item level analyses of the skills checklist and longer follow-up times in future studies will need to be performed to confirm this assumption.…”

Section: Discussionmentioning

confidence: 99%

Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program

Keleekai¹,

Schuster

Murray³

et al. 2016

Sim Healthcare

132

107

View full text Add to dashboard Cite

IntroductionPeripheral intravenous catheter (PIVC) insertion is one of the most common invasive procedures performed in a hospital, but most nurses receive little formal training in this area. Blended PIVC insertion training programs that incorporate deliberate simulated practice have the potential to improve clinical practice and patient care.MethodsThe study was a randomized, wait-list control group with crossover using nurses on three medical/surgical units. Baseline PIVC knowledge, confidence, and skills assessments were completed for both groups. The intervention group then received a 2-hour PIVC online course, followed by an 8-hour live training course using a synergistic mix of three simulation tools. Both groups were then reassessed. After crossover, the wait-list group received the same intervention and both groups were reassessed.ResultsAt baseline, both groups were similar for knowledge, confidence, and skills. Compared with the wait-list group, the intervention group had significantly higher scores for knowledge, confidence, and skills upon completing the training program. After crossover, the wait-list group had similarly higher scores for knowledge, confidence, and skills than the intervention group. Between the immediate preintervention and postintervention periods, the intervention group improved scores for knowledge by 31%, skills by 24%, and decreased confidence by 0.5%, whereas the wait-list group improved scores for knowledge by 28%, confidence by 16%, and skills by 15%.ConclusionsResults demonstrate significant improvements in nurses' knowledge, confidence, and skills with the use of a simulation-based blended learning program for PIVC insertion. Transferability of these findings from a simulated environment into clinical practice should be further explored.

show abstract

Intravenous Therapy

Cited by 184 publications

References 25 publications

Successful intravenous catheterization by medical students

Successful intravenous catheterization by medical students

Phlebitis, Infiltration, and Localized Site Infection Among Patients With Peripheral Intravenous Catheters

Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program

Contact Info

Product

Resources

About