Iv Reflection

Staff nurses on the unit expressed their frustration with the current practice regarding the frequency of PIV catheter replacements, stating that it was “time-consuming” and contributed to “patient dissatisfaction.” The process of replacing a PIV can often be time consuming and may take multiple attempts in order to successfully insert a new PIV. Research supports a change in practice that address these concerns. A pilot study performed in 2012, by Rickard, Webster, Wallis, Marsh, McGrail, French and Whitby indicated that replacing PIV catheters only when clinically indicated did not lead to catheter-related complications, as previously

Conducted over a 108-day span at the Hospital Clinico ‘San Carlos,’ a university hospital in Madrid, Spain, this randomized controlled trial evaluated both open and closed safety PIVCs, replacing the PIVC only as clinically indicated. Qualifying patients were 18 years of age or older, had a clinically planned PIVC (non-emergent), no other peripheral or central lines, and a temperature less than 38C. The sample included 1200 catheters to eliminate possible effects of IV insertion learning curves. Random computer selection generated the sample group into closed-system (COS) PIVCs and those with open-system (MOS) PIVCs. (Lopez et al., 2014)

An IO is used in times when and IV is unable to be established. IVs can not be established when the vein is collapsed or has been accessed too many times already. Scaring of the veins is usually an indication of drug use. However sometimes it is absolutely impossible to do an IV. In a recent study in was concluded, “Given that it is often difficult or impossible to establish IV access in critically ill patients in the pre hospital setting, intraosseous (IO) access is increasingly being used as an alternative to peripheral IV access.”

In When We Fight, We Win by Greg Jobin-Leeds it says that “comparison can block compassion both for others and for ourselves.” I agree with such statement; I think that listening is a skill you learn throughout time. One can pretend to listen without really getting anything out of the conversation that one is having with that other person. In the Compassionate Listening workshop, I got to do it with Rachel Kurland and I sit and listened to her talking about the moment her friend treason her. I tried to understand her plight, why would she not cut that friendship off, I understood she loved her friend, however, I could not resist bringing my biases to our conversation. I asked myself, why is Rachel, such a good, loving, and smart person,

Peripherally inserted central catheters (PICCs) can be used for routine patient care for treatment and have been increasingly used over the past years. They are more invasive than a peripheral intravenous line (PIV); however, they can be inserted at the bedside, are easily removed, and provide many positive benefits. PICCs relieve patients from frequent venipuncture for serial lab draws, decreases frequent re-starts of PIVs, and the patient can be discharged home, if needed, for continued IV therapy. Although there are benefits to these easily inserted central lines, central line-associated bloodstream infections (CLABSI) are a possibility (Dumont & Nessselrodt, 2012).

I was honestly very happy reading your post. Your excitement ant passion for the NFL made me happy not because I like the NFL because I don’t, it was because I always find inspiring when someone has a passion for something. I think that every human being should have a passion or a hobby something that makes happy because life is too stressful at times, and it is good to have an escaping source. As well as you, I have no idea that the NFL used the NPV to determine how to choose their players, I did think that they had some type of financial system to make the selections.

“the conclusion that peripheral IV catheters can be changed only when clinically indicated without increased risk to the patient and with cost savings for healthcare organizations.”

To reduce incidence of catheter-related infections caused by peripheral IV catheters (PIVC), hospitals have adhered to a practice of routine replacement every two to eight days. A review of available research articles suggests instead that reinsertion produced no evidence of reduced IV complications, but did impose repeated invasive procedures and discomfort upon the patients, as well as increased staff workload and hospital equipment costs. Alternatively, the collective research presents a practice of PIVC removal based solely upon clinical indication or medically determined need. In three different randomized controlled trials, each including adult patients 18 years or older, from multiple participating hospitals, the

Because of this, I was able to attempt two peripheral IVs. I had not been able to do an IV since second semester. I was able to get both IVs placed on my first attempt. This was a very rewarding situation for the clinical experience. In future experiences, I plan to make sure that I jump into these situations more often, so that I am able to gain more practice. I was very lucky that the CRN was so helpful and was able to walk me through the steps since it had been so long since my last

Peripheral I.V. rotation and care may differ from facility to facility. Although across the nursing community peripheral intravenous catheters are replaced every few days, they will be changed even if the vein is patent. If the site does not show signs of infection or phlebitis, it is protocol to change the site. Evidence-based practice says that there is no need to change the site routinely, instead the site should remain intact and changed only upon need such as inflammation, irritation, or lack of patency. Not changing the I.V. routinely gives comfort to the ill patient, while it also saves money for the hospital.

A study found a complication rate for PIVCs in place for 96 hours to be close to 50 percent. Some of the most recognized complications of PIVCs are phlebitis, occlusion, infiltration and extravasation and IV infection. Some of these complication could and in the past have caused death among patients. Many complications with IV fluids are leading up to more dangers complications. Most can be treated but they are very painful but some complications are life threatening such as deep thrombophlebitis caused by the building of a clot in a blood vessel. Some complications caused by IV therapy are very costly such as occlusion because they have to replace the catheter.

I do not recall learning about reflective practice in my undergraduate studies. Reflective practice according to Barbour (2013), “is the cyclic process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, existing knowledge, and experience; resulting in a changed conceptual perceptive and practice” (p. 7). According to Barbour (2013), reflective process has many positive outcomes to help guide the nurse to become an expert nurse that can make on the spot decisions that do not interrupt patient care. I feel that reflective practice would have been beneficial to help guide me from a student nurse to a practicing nurse with critical thinking skills.

Almost all patients that are admitted into the acute care setting require peripheral intravenous therapy. PIV therapy is an important factor in the care of patients in the hospital and it is most often used to maintain or correct fluid and electrolyte balances, administer medications, and replace blood or blood products (Ignatavicius and Workman, 2013). PIV therapy is an invasive therapy that requires catheter insertion into the vascular system and access is gained through the patient’s skin. Because this is an invasive procedure, patients are at a risk of developing catheter related infections. Catheter related infections are preventable and as nurses it is our responsibility to maintain the PIV site and use the appropriate protocols and interventions to

CHIC stands for Community Humanity Involvement Club and within this organization there are numerous of girls along with several sponsors that come and teach us how to be young ladies along with giving back to the community. I’ve been a CHIC member for seven years and it has taught me a wide range of things that I was unaware of before I became a member. CHIC often gives back to the community during major holidays such as Thanksgiving and Christmas. During Thanksgiving all CHIC members go to the care station and fix plates for anyone who is unable to provide for their family or just those that are homeless. CHIC has also been to the civic auditorium to help serve with events their. We serve as waitress which teaches us to be multitask being

The use of intravenous therapy in the hospitals is now considered a routine therapy. In 2016, DeVries and Valentine stated that 70% to 80% of hospital patients have peripheral intravenous lines at some time during their stay. A peripheral intravenous (PIV) line is a small hollow tube (catheter) that is inserted into a vein and can be connected to special tubing. PIV line is commonly used to administer medications or fluids directly into the vein. The article “Intravenous Therapy: A Review of Complications and Economic Considerations of Peripheral Access,” states that the history of intravenous (IV) therapy dates back to the Middle Ages. Dr. Thomas Latta pioneered the use of IV saline infusion during the cholera epidemic and in the 20th century, two world wars established a role for IV therapy as routine medical practice (Dychter, Gold, Carson, & Haller, 2012).