Successful Peripheral IV Access Education for Infusion Nurses
B. Braun Medical Inc. is committed to sharing knowledge with infusion nurses that addresses the critical issues of advancing care and improving safety.
At the INS Spring 2017 conference, B. Braun and Christie Medical Holdings, Inc. offered two sessions that focused on peripheral vascular access success presented by Gregory J. Schears, M.D., Associate Professor of Anesthesiology, Rochester, MN.
INS Exhibitor Product Theater
Transforming Peripheral Vascular Access
Content Description: In this era of healthcare quality metrics, reducing peripheral IV catheter (PIVC) complications remains elusive. Staff nurses are successful placing a PIVC on the first stick in 1 out of 2.18 times, subjecting patients to multiple sticks until access is obtained. Beyond placement, overall catheter failure rates lie between 35 and 50 percent. Current practice could place patients at risk of failed peripheral IV catheters due to lack of pre-access planning, suboptimal insertion site choice, lack of attention to catheter to vein ratio, inadequate knowledge of the relationship of the catheter to the intraluminal venous environment, and unnecessary movement of the catheter tip with normal activities. Today, technologies to address some of these important issues are available to the clinician.
This presentation addresses pre-access assessment, optimal access site choice, catheter movement reduction and several other important issues. These concepts are designed to reduce PIVC complications and improve quality metrics associated with PIVC use and care.
Learning Objective #1: The participant will understand current PIVC failure modes and consider potential causes.
Learning Objective #2: The participant will be able to understand the importance of pre-access assessment and the challenges of its application with current practice.
Learning Objective #3: The participant will be able to discuss current barriers to reducing PIVC catheter failure rates and implementation of objective measures to reduce catheter related complications.
Simulation Lab Presentation
Targeting Vein Preservation and Optimal Site Choice with Technology
Content Description: Current practice places patients at risk of a failed peripheral IV catheter (PIVC) due to lack of pre-access planning and failure to identify optimal access sites. This leads to multiple sticks resulting in unnecessary pain and suffering and significant patient dissatisfaction. By failing to provide pre-access assessment and continuing to repeat the same old errors, we may be unnecessarily categorizing patients as more difficult venous access patients.
Beyond basic vein finding, near infrared (NIR) vein imaging systems are a valuable tool for vein assessment prior to PIVC placement to identify obstacles and find optimal access sites. This session explores the numerous aspects of NIR vein imaging device use.
Learning Objective #1: The participant will be able to describe the critical importance of pre-access assessment prior to PIVC placement.
Learning Objective #2: The participant will be able to discuss optimal use of NIR as a screening tool to identify viable venous access targets and use an algorithm for optimal vascular access device selection.
Learning Objective #3: The participant will be able to identify techniques using NIR to identify valves and other obstacles to strategically optimize site choice and help reduce complications.