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sk07
KVO rates, evidence-based practice

Hi all,

     I am wondering if anyone out there is aware of any evidence-based practice regarding the issue of KVO rates......too low? too high?

Thanks, Sharon

lynncrni
See previous postings about
See previous postings about this issue. A KVO order is not a legal order because it is not complete and there really is no such thing as one rate that will work on every catheter and every vein. Lynn

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Gwen Irwin
We tried to review this

We tried to review this issue.  We found in a survey that staff nurses are all over the map from 5ml/hr to 75 ml/hr.  We tried to do a study, but it was not really set up very well.

End result:  we don't know what KVO means.  I agree that it is not a legal order.  We tried to get the docs and nurses to agree on what would work.  We hoped to get a number that would not increase occlusion rates and would keep the vein (or cental line) open. If we could have gotten better info from the study, we would have pursued by getting the medical staff agreeing on a specific number (via protocol) that KVO means x ml/hour, whenever KVO is ordered.

Much work needs to be done before this becomes a physician approved set rate for KVO

Hope this helps.

Gwen Irwin

Austin, Texas

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