更换还是不更换？基于临床指征更换外周短导管。

To Replace or Not to Replace? Replacing Short Peripheral Catheters Based on Clinical Indication.

作者信息

Maier Deborah

机构信息

Rochester Regional Health System, Rochester, New York. Deborah Maier, MS, RN, ACCNS-AG, CCRN, has nearly 20 years of medical-surgical critical care experience. She is currently a clinical nurse specialist at the Nursing Institute for Rochester Regional Health System in Rochester, New York. Ms Maier earned her MS from St. John Fisher College in Rochester, New York in 2018 and her BSN from the College at Brockport in 2001. She has been a CCRN since 2009.

出版信息

J Infus Nurs. 2019 May/Jun;42(3):143-148. doi: 10.1097/NAN.0000000000000322.

DOI:10.1097/NAN.0000000000000322

PMID:30985563

Abstract

Short peripheral catheters (SPCs) are the most frequently used medical devices in hospital settings. Many hospital policies state that SPCs be replaced at 96 hours, which can be unnecessary and costly. A pre-post quality improvement initiative was implemented following complications surrounding removal of timed SPC catheters compared with those removed by clinical indication, using the Visual Infusion Phlebitis (VIP) scale. Data collected included patient demographics, SPC characteristics, nursing time, and product use. SPCs replaced based on clinical indication remained intact longer and had fewer complications than those in the group with routinely replaced SPCs. Decreasing SPC replacements by use of clinical indication resulted in cost savings of $7263.60/unit/month.

摘要

短外周导管（SPCs）是医院环境中使用最频繁的医疗设备。许多医院政策规定SPCs应在96小时更换，这可能是不必要的且成本高昂。在使用视觉静脉炎评分（VIP）量表比较定时拔除SPC导管与根据临床指征拔除导管所引发的并发症后，实施了一项前后对照的质量改进举措。收集的数据包括患者人口统计学信息、SPC特征、护理时间和产品使用情况。与常规更换SPCs的组相比，根据临床指征更换的SPCs保持完好的时间更长，并发症更少。通过根据临床指征减少SPCs的更换，每月节省成本7263.60美元。