Patient Dissatisfaction Of Piv Catheter Replacements

1804 WordsNov 10, 20158 Pages
Introduction In a local San Diego County hospital, on a 28 bed progressive care unit specializing in cardiac telemetry, the current protocol for replacing peripherally inserted intravenous catheter is every 72 hours or less if clinically indicated. The average daily census of patients on the unit is roughly 23 patients with an increase of 5% during the winter months. There are nearly 50,000 patients admitted annually to this unit with 47,670 discharged home. The hospital is located in Serra Mesa and serves the residents of this region as well as the surrounding area with a mean age of the patient being 52. The patients seeking care are mostly English or Spanish speaking, but represent a wide variety of cultures. The RNs on this unit are working with patients in a 4:1 ratio leading to a fast-paced workflow and heavy workload for the nurses. 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
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