PICO

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College of DuPage *

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1109

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Medicine

Date

Dec 6, 2023

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pptx

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Uploaded by tmbeucher

INTRAVENOUS ACCESS AND YOU! By: Zach Striplin and Tim Beucher

PICO  Population: Patients of West Lake Hospital that require IV insertion  Intervention: Implementing A specialized IV start team  Comparison: Floor nurse IV access VS IV start team access  Outcome: Better patient outcomes, cost effective for facility

WHAT WAS THE QUESTION??  At Westlake Hospital, would it be appropriate to initiate an IV start team to place IV’s in patients, compared to nurses on the floor, to help the hospital reduce infections and improve cost efficiency?

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THE WEST LAKE EXPERIENCE  Used IV kits and needles left at bedside  IV tubing questionably maintained  Port caps either not available or not used  Improper IV gage compared to patient condition  Unnoticed infiltration or removal.  No IV access

THE FACTS  Nosocomial infection decreased by 35%”  Nosocomial infection- acquired while under medical care and paid for by the hospital  IV team cost- $252,000 per year  Excess costs per life saved approximately $53,000  Excess costs per infection prevented approximately $14,000  59% percent of patients have vascular access (Cates 2016) Veterans Administration Medical Center (Meier 1998)

ARE YOU INFECTED?  Yes, you are.

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POSITIVES  Trained team that causes less pain and reduced infection rates  Reduced complications associated with inexperience  Reduces work load of floor nurses  Evidence based nursing practice  Patient advocate

NEGATIVES  Expensive  Cost effectiveness

IN CONCLUSION…  Good for the patient, bad for the budget  More research needed  Streamlining and cost reduction needs to be considered

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REFERENCES  Cates, Melanie. 2016. "Evaluation of Peripheral Intravenous Practices." Vascular Access 10, no. 1: 8-13. CINAHL Complete , EBSCO host (accessed March30, 2018).  Meier, P. A., Fredrickson, M., Catney, M., & Nettleman, M. D. (1998).Impact of a dedicated intravenous therapy team on nosocomial bloodstream infection rates. AJIC: American Journal of Infection Control , 26 (4), 388+. Retrieved from http://link.galegroup.com.cod.idm.oclc.org/apps/doc/A194 641966/AONE?u=cod_lrc&sid=AONE&xid=d4e6a889

PICO

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