I have searched the downloads on this site to help critique our overall practice as it relates to the prevention and management of extravasations. Lynn, I did read your Nursing 2004 article "Preventing and managing peripheral extravasation".
More specifically, I am looking for evidence regarding the practice of continuous infusions of vesicants through PIV. A 2008 article written by a legal nurse consultant stated INS mandates "continuous vesicant infusions should be administered through a central venous catheter". Now I believe mandates and should be are two different things. I looked through the Standards and could not find this statement. I found S55.5 states a prevention plan shall be strongly considered but this is the only thing I see regarding prevention. I looked under Extravasation section.
Anyways, I have seen patients in our critical care unit have extravasations of dopamine, dobutamine, neo-synephrine through PIVs. I would like to change our practice but the physician buy-in would require evidence to support the placement of a CVC for therapy that usually is time limited.
Thoughts??? Does your organization make a stand as to how long a continuous vesicant can be administered through a PIV? Care to share?