Peripheral intravenous catheter insertion in the Emergency Department

Australasian Emergency Nursing Journal : AENJ
Kelly DeckerBiswadev Mitra

Abstract

Growing research suggests that a large number of peripheral intravenous catheters (PIVCs) inserted in the Emergency Department (ED) are unused. The aim of this study was to assess the proportion of unused ED inserted PIVCs in a before-and-after interventional study. Additional aims were to ascertain indications for PIVC insertion in the ED and to increase the appropriateness of PIVC insertion. A prospective interventional study was conducted. Data were collected on 150 cases in the pre- and a further 150 cases in the post-intervention phase. During the intervention phase strategies were implemented to increase appropriate PIVC insertion in the ED. Interventions included introduction of insertion and removal stickers, new venepuncture devices, changing the intravenous (IV) trolley layout, and an educational campaign. Results from this study demonstrate that the number of PIVCs used (50 vs. 28) remained unchanged, however the number of PIVC insertions initiated by nursing staff reduced significantly (p=0.049). With regard to the indication for PIVC insertion, the implementation of the interventions was associated with significantly fewer PIVCs being inserted for routine blood collection (p=0.006) and for PIVCs inserted for a pote...Continue Reading

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Citations

Oct 19, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Tracey HawkinsLouise Cullen
Dec 7, 2017·Emergency Medicine Australasia : EMA·Lynne Gledstone-Brown, Douglas McHugh
Sep 13, 2018·Emergency Medicine Australasia : EMA·Diana Egerton-WarburtonRhonda Stuart
Aug 30, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Hugo EvisonGerben Keijzers

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