Our institution is struggling with the frequency of IV assessments/documentation. We have implemented an across the board Q2h for continuously infusing PIVs with Q2h documentation. We are trying to decide the frequency required for CVADs. We acknowledge that the risk of infiltration and phlebitis is less for CVLs and PICCs and some would like the frequency of this assessment to be less frequent than PIVs. Others feel having different requirements will be confusing and in the interest of consistency all should be required Q2h. Would love to hear what other institutions are doing and whether you have issues with compliance. Thanks, Kristi Selck, RN
INS now has a position paper on the frequency of assessing short peripheral catheters. The primary factors are what is infusing plus patient factors. I think you could follow similar assessment frequency for all CVADs.
www.ins1.org/files/public/07_05_12_Assessment_Position_Paper_BOD_FINAL.pdf
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
Thanks for you prompt reply, Lynn. Yes, I have the PIV position paper. Not sure the same applies for CVADs as they don't carry the same risks for local vein irrritation/infiltration injuries. Trying to write a policy that is general enough to apply to everyone with a PICC, with a CVAd, etc that we can expect compliance with. Wondering how any other facility makes this work.
We are developing a midline policy. Do any other institutions restrict midline placement to a patient that's been afebrile for 48 hours?
Thank you,
Kristi
Is there anyone willing to share with me their institution's policy on line assessment and documentation of ALL lines, CVADs adn PIVs? What type of documentation do you use? Do you have issues with compliance?
Thank you so much,
Kristi
We are developing a midline policy. Do any other institutions restrict midline placement to a patient that's been afebrile for 48 hours?
Thank you,
Kristi