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Author: Jennifer Teerlink
Publisher:
ISBN:
Category : Intravenous catheterization
Languages : en
Pages : 0
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Book Description
Lack of standardization in vascular access device management policies can increase nursing care variability, increasing catheter occlusion rates. Catheter occlusions can delay treatments and may increase the risk of further complications for patients, increasing costs. Purpose: This quality improvement project aimed to standardize a hospital systems vascular access device policy and nurse-driven flushing and maintenance protocol. Methodology: A routine audit of an electronic policy system identified over 50 vascular access device care and management policies in 11 hospitals. These policies included outdated procedural steps rather than directing nurses to one evidence-based clinical practice guideline when performing clinical skills. One policy was developed following evidence-based clinical practice guidelines, and all hospitals were asked to retire their existing policies to follow a standardized approach. Results: Each of the 11 hospitals adopted a standardized policy. Survey results of nurses indicated (n = 189) an educational gap in the awareness and use of one evidence-based clinical practice guideline when performing vascular access device care and maintenance, which may have led to increased occlusions. After the policy intervention, the doses of alteplase used for occluded catheters decreased. Implications for Practice: Standardizing policy and directing nurses to one evidence-based clinical practice guideline reduces nursing practice variability and decreases catheter occlusion rates. Nurse education is crucial to change practice and direct nurses to their correct resources when performing nursing skills.
Author: Jennifer Teerlink
Publisher:
ISBN:
Category : Intravenous catheterization
Languages : en
Pages : 0
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Book Description
Lack of standardization in vascular access device management policies can increase nursing care variability, increasing catheter occlusion rates. Catheter occlusions can delay treatments and may increase the risk of further complications for patients, increasing costs. Purpose: This quality improvement project aimed to standardize a hospital systems vascular access device policy and nurse-driven flushing and maintenance protocol. Methodology: A routine audit of an electronic policy system identified over 50 vascular access device care and management policies in 11 hospitals. These policies included outdated procedural steps rather than directing nurses to one evidence-based clinical practice guideline when performing clinical skills. One policy was developed following evidence-based clinical practice guidelines, and all hospitals were asked to retire their existing policies to follow a standardized approach. Results: Each of the 11 hospitals adopted a standardized policy. Survey results of nurses indicated (n = 189) an educational gap in the awareness and use of one evidence-based clinical practice guideline when performing vascular access device care and maintenance, which may have led to increased occlusions. After the policy intervention, the doses of alteplase used for occluded catheters decreased. Implications for Practice: Standardizing policy and directing nurses to one evidence-based clinical practice guideline reduces nursing practice variability and decreases catheter occlusion rates. Nurse education is crucial to change practice and direct nurses to their correct resources when performing nursing skills.
Author: Nancy L. Moureau
Publisher: Springer
ISBN: 3030031497
Category : Medical
Languages : en
Pages : 303
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Book Description
This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Author: Diane Krasner
Publisher:
ISBN: 9781893446076
Category :
Languages : en
Pages :
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Book Description
Author: Dawn Camp-Sorrell
Publisher:
ISBN: 9781935864905
Category : Cancer
Languages : en
Pages : 0
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Book Description
"The use of venous access devices (VADs) is central to the care that nurses provide to patients with cancer. Oncology nurses must base their practice on evidence-based research when available, but a lack of evidence has been a professional challenge for decades. With limited research to guide practice, ongoing controversies remain regarding optimal device management. Since 1989, the Oncology Nursing Society (ONS) has provided guidelines to establish a foundation for access device management. With this new text, ONS has identified practice standards, developed from a synthesis of evidence, critical review, and analysis of aspects of access device management for which nursing is accountable. Access Device Standards of Practice for Oncology Nursing reviews the controversies in access device care, explores the range of devices currently available, details the advantages and disadvantages of each device to ensure optimal selection based on patient needs, and discusses the key legal ramifications concerning access devices and their management. With access device technology becoming more complex, this text is an essential resource for nurses practicing in a wide range of settings to ensure safe, effective care of patients with VADs."--Publisher's description.
Author: University College London Hospitals
Publisher: John Wiley & Sons
ISBN: 1118277392
Category : Medical
Languages : en
Pages : 356
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Book Description
"I would definitely recommend this book to all staff with an interest and involvement in intravenous drug therapy." —The Pharmaceutical Journal "There is no doubt that nurses will find this small book useful. It should be available for consultation in any clinical area where drugs are administered to patients by the injectable routes." —Journal of Clinical Nursing The safe administration of injectable medicines is key to patient safety. The NPSA recognises the use of injectable medicines is a high risk activity and recommends written information about injectables to be available at the point of preparation. The UCL Hospitals Injectable Medicines Administration Guide is a practical, accessible guide covering many important aspects of administering medicines by injection. It provides clear, concise information on the preparation and administration of over 245 injectable medicines for adults, paediatrics and neonates. It is an essential resource for nurses and other healthcare professionals: it provides the key information and advice needed for the safe and effective administration of injectable medicines. The Guide’s introductory section provides a concise yet comprehensive overview of injectable therapy, including the risks and benefits of IV administration, infusion devices, and pharmaceutical aspects of injectable therapy. For each drug the alphabetically tabulated monographs provide: A practical method of preparation and administration via the IV, IM and SC routes, with risk reduction in mind at every step Expert advice from the team of specialist pharmacists at UCLH to ensure safe and pragmatic use of each medicine Monitoring advice for the management of reactions that may occur during administration Y-site and syringe driver compatibility data Minimum infusion volume data for fluid restricted patients Extravasation warnings, pH, sodium content, displacement values, stability and flush data New to this edition: 40 new monographs including recently marketed, unlicensed, rarely used and specialist medicines Detailed advice for the administration of high risk medicines such as heparin, with access to UCLH’s medicine related guidelines at www.wiley.com/go/UCLH A colour-coded NPSA risk assessment for every mode of administration for every medicine, to highlight the safest method of administration A user guide and tutorial to give new readers confidence in using and understanding the Guide Revised chapters on administration methods and devices, aseptic non-touch technique, and latex allergy Fully revised and expanded Y-site compatibility section Spiral binding to allow the book to be left open at the relevant page The Guide is also available electronically at www.uclhguide.com.
Author: Diane L. Krasner, Ed.
Publisher:
ISBN: 9781893446090
Category : Medical
Languages : en
Pages : 360
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030915037X
Category : Medical
Languages : en
Pages : 175
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Book Description
During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 385
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Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309164257
Category : Medical
Languages : en
Pages : 267
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Book Description
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Author: Michael Cheng
Publisher: World Health Organization
ISBN: 9241546182
Category : Medical
Languages : en
Pages : 54
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Book Description
The term 'medical devices' covers a wide range of equipment essential for patient care at every level of the health service, whether at the bedside, at a health clinic or in a large specialised hospital. Yet many countries lack access to high-quality devices, particularly in developing countries where health technology assessments are rare and there is a lack of regulatory controls to prevent the use of substandard devices. This publication provides a guidance framework for countries wishing to create or modify their own regulatory systems for medical devices, based on best practice experience in other countries. Issues highlighted include: the need for harmonised regulations; and the adoption, where appropriate, of device approvals of advanced regulatory systems to avoid an unnecessary drain on scarce resources. These approaches allow emphasis to be placed on locally-assessed needs, including vendor and device registration, training and surveillance and information exchange systems.
