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"The guidelines specified when PIVI was justified (life-threatening emergency, need for an exclusive intravenous drug with no oral alternative, impossibility to administer oral medication, need to maintain an empty stomach) or unjustified (KVO, “just in case”, to collect a blood sample)" Noel et al (2021).
Unjustified peripheral IV access in ED

Extract:

A single-center before and after study was conducted in an urban university hospital ED. The “before” period lasted from June 13 to June 20, 2019. The educational intervention occurred in October 2019. Hospital guidelines regarding PIVI order were presented to the ED medical and nursing staff during one dedicated meeting and three posters were displayed in the ED [7]. The guidelines specified when PIVI was justified (life-threatening emergency, need for an exclusive intravenous drug with no oral alternative, impossibility to administer oral medication, need to maintain an empty stomach) or unjustified (KVO, “just in case”, to collect a blood sample). The “after” period took place from January 6 to January 13, 2020 and was extended from February 6 to February 9, 2020 because of a slow inclusion rate. All patients receiving a PIVI in the ED between 8 and 12 am during both study periods were eligible. Patients admitted to the resuscitation room were excluded. This study involved the reuse of routinely collected data and fell within the scope of the reference methodology MR-004 of the French legislation. The protocol was registered in the Assistance Publique-Hôpitaux de Paris studies registry (number 20210423180128).

Reference:

Noel F, Hoang P, Truchot J, Bard AS, Yordanov Y, Thiebaud PC. An educational intervention to reduce unjustified peripheral intravenous infusions in the emergency department. Intern Emerg Med. 2021 Nov 20:1–3. doi: 10.1007/s11739-021-02896-5. Epub ahead of print. PMID: 34800237; PMCID: PMC8605468.