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INICC report found 7785 CLABSI

clabsi

“Pooled CLAB rate was 5.30/1,000 CL-days; VAE rate was 11.47/1,000 MV-days, and CAUTI rate was 3.16/1,000 UC-days” Rosenthal et al (2021).

Intramuscular injection pain reduction

IM Injection

“As a result of the meta-analysis, it was found that ShotBlocker application in IM injection in adult patients reduced patients’ pain intensity” Şahan and Yildiz (2021).

Neonatal PICC placement and prevention of hypothermia

CVC

“This quality improvement project’s goal was to reduce the hypothermia rate in very low birth-weight (VLBW) neonates by replacing cloth blanket/towels with a plastic drape during PICC placement” Phan and McIntyre (2021).

IM injection online education

IM Injection

“Web-based education and Kahoot usages in the evaluation showed positive effects on nursing students’ intramuscular injection knowledge and skills” Öz and Ordu (2021).

Subcutaneous PICC securement device outcomes

CVC

“In this retrospective analysis, subcutaneously anchored securement of PICCs was a safe and effective strategy for reducing the risk of dislodgment” Brescia et al (2021).

Likelihood of transfusion associated HBV infection

transfusion

“It is estimated that at least 13 potentially infectious donations from donors with OBI remain undetected annually, equating to an overall residual transmission risk of 3.1 per million donations using our current screening strategy of HBsAg screening with HBV nucleic acid testing (NAT) in pools of 24” Harvala et al (2021).

Fluid intake and output monitoring

Fluid balance

“Overall, documentation accuracy of the intake and output charts was 77%, with 100% accuracy in the oral and intravenous fluid intake, and 21% accuracy in the output documentation” Lim et al (2021).

Peripheral IV catheter management in childbirth

peripheral IV catheter management

“Regular use of a large-gauge catheter is counter intuitive when placed in the small veins of the hand with extension tubing. More research is needed to promote best practice around gauge selection, site and women’s experience” Kearney et al (2021).

Needlefree connector IV extension set incident

chlorhexidine allergy

“We experienced complete failure of a needle-free connector extension set with a Luer-access split septum device in multiple patients due to the split septum remaining fused and essentially unsplit despite being connected on both ends” Naftalovich et al (2021).

CVC insertion site swab and BSI diagnosis

CLABSI reduced

“The novel objective of our study was to determine the capability of insertion skin site culture to predict CRBSI and primary bloodstream infection (PBSI), that include CRBSI and bloodstream infection of unknown origin (BSIUO)” Lorente et al (2021).

Sternal intraosseous devices

intraosseous infusion sites

“When considering IO vascular access in adults or older children, medical providers should consider the sternum as the recommended IO access” Kearney et al (2021).

Ultrasound assessment of peripheral IV catheters

ultrasound cvc insertion

Ultrasound assessment of peripheral IV catheters Abstract: Objective: Establish the feasibility of pediatric intensive care unit (PICU) nurse-directed ultrasound assessment (UA) of peripheral intravenous (PIV) catheters, compare the results of UA to traditional assessment (TA), and determine PIV survival after UA. Design: Prospective observational cohort study. Setting: PICU within a children’s hospital. Patients: PICU patients […]

IV access ability whilst wearing PPE

VIP Score

“The study provides evidence that nurses wearing biosafety Level-2 suits were able to obtain intraosseous access faster and more effectively as compared with IV access during simulated COVID-19 paediatric resuscitation” Drozd et al (2021).

PICC-related VTE in cancer patients

PICC

“The non-O blood group, larger ratio of PICC diameter:vein diameter, and high level of triglycerides were significantly associated with PICC-related VTE” Li et al (2021).

Ultrasound vascular access in children

neonatal picc

“This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates” Acosta and Tusman (2021).

Impact of multiple PICC insertions – Full Text

PICC

“Although PICCs have been widely used worldwide in various patients, the safety and feasibility of the multiple insertions of the PICC in this population have not been fully verified” Hashimoto et al (2021).

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