Algorithm as a guideline for clinicians choosing the most appropriate intravenous (IV) device


Intravenous literature: Santolim, T.Q., Santos, L.A.U., Mazzini, A., Giovani, M. and Dias, V.C. (2012) The strategic role of the nurse in the selection of IV devices. British Journal of Nursing. 21(21), p.28-32.


Use of vascular devices represents one of the most common procedures used as a complementary measure in the treatment of patients. An indication algorithm was established to serve as a guideline for nurses in choosing the best intravenous device, considering the main variables of drug therapy. A protocol approved by the Institute of Orthopedics and Traumatology of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), where the authors work, was subsequently established and the nurse carried out the evaluation for the indication of both the peripheral device and the central device, whether a peripherally inserted central catheter (PICC) or other device inserted by the physician. As a result, there was a decrease in the incidence of phlebitis from 0.77% in 2010 to 0.17% in 2011, with an annual curve of negative tendency. The nursing team also appeared more satisfied, diminishing stress related to puncture failure

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