I'm involved in an "Evidence-Based Practice" project here at Washington Hospital and I have a question regarding the INS Standards of Practice. We can use guidelines/standards as a reference, but we have to review the reliability & credibility of this document by using a "Rapid Critical Appraisal" form.
One of the questions is:
"Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked with the scientific evidence?"
In revewing these standards, I can only see references of articles to support each "recommendation", I am unable to find a "Level/Strength" grading system, if you will, such as those found in the "CDC" Guidelines, (ie: Category 1A, 1B, etc...) It appears that this document isn't supported by the documentation of the "level of evidence"!!!Â I was totally shocked because we all refer to these Guidelines as our "Bible" in IV therapy & Access!
This can't be true, please help clarify! Or direct me to someone who knows.
Raquel M. Hoag, RN, BSN, CRNI
Staff Nurse III, PICC Nurse
Washington Hospital, Fremont, CA