PIV

Power Hour Breakout

L5 — Creating Value with a Vascular Access Team Through a PIV Best Practice Bundle Study

Tuesday, September 18
8:00 AM - 9:00 AM
Location: C150
Presentation CE Credits: 1

In the USA PIV catheter failure rates average 53% with 1 in every 2 catheters failing to make it to the end of treatment. The causes of these high failure rates are a result of common PIV complications: infiltration, extravasation, infection, catheter occlusion and dislodgement. A randomized controlled study was performed, with IRB approval, at Hartford Hospital, an 867-bed level one trauma center, in Hartford CT. The purpose of this study was to demonstrate that PIV dwell times will increase and adverse outcomes will decrease when the PIV is inserted by an IV specialist using a bundled approach (5 RIGHTS). This study was conducted on a 47-Bed Medical Unit where on average, it admits 6-12 new patients daily. Any new admit, if willing to participate, was consented. If the PIV was asymptomatic and in the forearm, the PIV was left in place. If patient required a new site, one was placed using the 5 RIGHTS approach. Each IV site was assessed by study personnel once or twice daily with pictures taken with each assessment. During this session, you will see how using the 5 RIGHTS can improve a patients PIV experience by reducing needle sticks, insertion of the PIV away from a point of flexion thus resulting in longer dwell times and less PIV adverse outcomes.

Learning Objectives:

Lee Steere, RN, CRNI®, VA-BC™

Assistant Manager
Hartford Hospital

Lee Steere, RN, CRNI, VA-BC has been leading the IV Team at Hartford Hospital for close to 15 years. His team’s most recent accomplishment was the completion of a study that resulted in implementation of all PIVCs being inserted on the inpatient units at Hartford Hospital using a vascular access RN and a 5RIGHTS bundle. Lee is a member of the hospital’s HAI committee and is co-chair of the HHC Clinical Practice Council. Lee has spoken at multiple local and national infusion/vascular access conferences on CLABSI prevention, CVAD occlusion management and over the past year, he has been speaking about the success of PIV insertions using a vascular access nures and a bundled approach. He is the author and co-author of two peer reviewed publications and is currently working on revisions on his third.

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