Research

Express Learning Breakout

O2 — Clinically Indicated Site Rotation: Steps and Data to Strive for Success - The Journey Continues

Tuesday, September 18
11:15 AM - 11:45 AM
Location: C171-172
Presentation CE Credits: 1 for two (2) 30-min Breakouts

This presentation would be helpful to both attendees that have implemented CISR in addition to those who are considering implementation. It includes steps in the journey at our facility including improvements in removal reasons documentation and data collection. It also includes tracking and monitoring of PIV complication rates according to grade and dwell time for both phlebitis and infiltration in addition to BSI rates. Our IV Therapy Team currently does a daily PIV site assessment on patients whose PIV has dwelled >96 hours. Results show there was no significant difference in phlebitis rates before and after the practice change. We continue to monitor BSIs to ensure there is no correlation with any increase in BSI rates associated with Clinically Indicated Site Rotation. Discussion continues concerning the impact of individual hospital peripheral IV insertion practices/products, the possibility of removing the daily PIV assessment by the IV Team, and next steps prior to moving the practice change system wide. The Clinically Indicated Site rotation research project at our facility has resulted in a significant savings in supplies, vessel preservation, and increased patient satisfaction.

Learning Objectives:

Patti Wilcox, BSN, RN, VA-BC™

Nurse Manager IV Therapy Team
St. Elizabeth Healthcare

Patti Wilcox is the Nurse Manager of the IV Therapy Team at St. Elizabeth Healthcare in Edgewood, KY. She has 40 years of healthcare experience in the hospital setting. She is actively involved in AVA and INS professional nursing organizations where she has presented her research and is Vascular Access Board Certified (VA-BC).
Patti was a poster presenter at the Association of Vascular Access National Conference in 2013 and at the Infusion Nurse Society Annual Scientific meeting in 2014. She was a podium presenter at the Association of Vascular Access Annual Scientific meeting in 2014, 2016, and 2017. She was a Grand Rounds presenter at the Infusion Nurse Society Annual Meeting in 2015 and 2016 and was voted Grand Rounds Presentation Winner by her peers in 2016.

Presentation(s):

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Kimberly Sweeney, BSN, RN, VA-BC™

IV Therapy Staff Nurse
St Elizabeth Healthcare, Edgewood, KY

Kimberly Sweeney has been a nurse for 35 years with a background in Critical Care and Oncology. She has been a member of the IV Therapy Team at St. Elizabeth Healthcare in Edgewood, Kentucky for the past 7 years. Kim is involved in Research and Performance Improvement and was the recipient of St. Elizabeth’s 2016 Nursing Excellence Award for Research. She has spearheaded the development of her hospital’s Evidence Based PIV Site Rotation practice change and is in the process of putting into place an US-guided PIV Access Training Program for IV Therapy Team nurses. Kim has presented at multiple research symposiums and was a podium presenter and a poster presenter at the Association for Vascular Access Annual Scientific meeting in 2016.

Presentation(s):

Send Email for Kimberly Sweeney


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