Our facility is looking into implementing the Nexiva catheters. Does anyone have any literature for or against the Nexiva catheters. I have read in various forums other facilities finding the conversion taking a long time with these catheters related to changes in practices...with increase pain, venipuntures, and increase cost to patients and facilities. Any information would be helpful.
There have been 2 publications on this catheter, one a randomized controlled trial and one a time sequential cohort series. With adequate planning and training, this can be a smooth transition. And these studies show that the total costs are no more and actually less than their previous methods.
1. Bausone-Gazda D, Lefaiver C, Walters S. A Randomized Controlled Trial to Compare the Complications of 2 Peripheral Intravenous Catheter-Stabilization Systems. Journal of Infusion Nursing. 2010;33(6):371.
2. Delp J, Hadaway L. New product decisions- The process and outcome for a community health system. Journal of the Association for Vascular Access. 2011;16(2):74-76, 78-79, 82-84.
Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
The process of change is the biggets issue. How it is carried out is most important. Changes to IV catheter design have beenfew and far between. I was was sceptical as well when we first looked at this device. Once the learning curve was over though.... we really did save a little money andconsiderably reduce the risk of blood exposure for our staff.
Jose Delp RN BSN VA-BC