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Safe and correct use of peripheral intravenous devices
Author(s) -
DorniakWall Taisa,
Rudaks Laura,
Solanki Nicholas S.,
Greenwood John
Publication year - 2013
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2012.06281.x
Subject(s) - medicine , audit , compliance (psychology) , documentation , emergency medicine , patient safety , medical emergency , intensive care medicine , health care , psychology , social psychology , management , computer science , economics , programming language , economic growth
Background A peripheral intravenous device ( PIVD ) provides venous access for the administration of medications, blood products and fluids. They can be associated with a risk of infection and other complications, which have prompted the development of evidence‐based guidelines for their use at the R oyal A delaide H ospital ( RAH ). A previous audit performed at the RAH found unsatisfactory compliance with these guidelines across a group of wards. The B urns U nit performed poorly compared with other wards, but the reasons for this were not explored. Methods A repeat audit was performed for all PIVD s in the B urns U nit over a 3‐week period and compliance with the PIVD safety guidelines was assessed. Factors influencing compliance were investigated and the evidence behind the guidelines was reviewed. Results Overall compliance with the seven safety criteria was 71%. Poorest compliance was for documentation of insertion date, which has implications for scheduling PIVD replacement. Conclusion The guidelines are largely evidence‐based; however, not all of them are feasible for all patients within a hospital. The B urns U nit had an overall compliance rate of 71%. Auditing of individual wards is not effective in assessing those wards' compliance with the guidelines as many PIVD s are inserted in other locations in the hospital. For compliance to improve, other areas of the hospital where PIVD s are inserted need to be targeted.