SLIDE 1 Name: Ms. Mayola Pais
Third QPEM Conference 11-13th of January 2019
Trends in Reduction of IV site related complications
SLIDE 2
I do not have any relevant financial relationship with commercial interest to disclose.
DISCLOSURE
SLIDE 3 1
At the end of the presentation, the attendee will be able to:
Learning Objectives
Explain best evidence in reduction of IV site complications
SLIDE 4
Intravenous solutions Blood and Blood products
Medications
Intravenous therapy is treatment that infuses
SLIDE 5
SLIDE 6
Infiltration Extravasation Phlebitis Infection Hematoma Thrombophlebitis
The Big Challenge…..
SLIDE 7
Infiltration ranks the highest among complications
J Vasc Access. 2018 May;19(3):266-271. doi: 10.1177/1129729817747532. Epub 2018 Mar 5. Infiltration and extravasation in pediatric patients: A prevalence study in a children's hospital. Özalp Gerçeker G1, Kahraman A2, Yardimci F2, Bilsin E3, Binay Ş2, Çevik Özdemir HN2, Karakul A4, Zengin D2, Ardahan Sevgili S2, Gümüş M2, Başbakkal Z2, Akpınar S5.
SLIDE 8
We accept the challenge…
Site
Size
Dressing Touch Look Compare
SLIDE 9
Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to Reduce IV Site Related Complications - An Evidence-based Utilization Project. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Evidence has its way…. Intravenous Therapy Team
SLIDE 10 0.08% 0.26% 0.27% 0.34% 0.17% 0.20% 0.12% 0.00% 0.19% 0.16% 0.17% 0.29% 0.00% 0.10% 0.20% 0.30% 0.40% Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18
Percentage of Infiltration
Percentage of Intravenous Fluid Infiltration PEC AlSaad
Percentage of Intravenous Fluid Infiltration Target
SLIDE 11 Accountabilit y
Attention to Detail
Critical Thinking
SLIDE 12 References:
- Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to
Reduce IV Site Related Complications - An Evidence-based Utilization
- Project. Khoo Teck Puat-National University Children's Medical Institute,
National University Hospital, 1E Kent Ridge Road, Singapore 119228,
- Singapore. Electronic address: lay_kee_kek@nuhs.edu.sg.
- Decreasing IV Infiltrates in the Pediatric Patient – System-Based
Improvement Project -Tracie Wilt Major and Tricia K. Huey
- Clinically-indicated replacement versus routine
replacement of peripheral venous catheters. Webster J1, Osborne S, Rickard C, Hall J.