Optimizing the Effectiveness of Peripheral Intravenous Catheters (PIVCs)

Recorded On: 06/05/2022

Hospitalized adult patients often require more than 1 PIVC to complete the prescribed intravenous (IV) therapy due to catheter failure and the practice of routinely replacing PIVCs. The purpose of this quality improvement project was to increase the number of PIVCs dwelling for the entire duration of the IV therapy in hospitalized adult patients using a bundled approach. In order to reduce the number of PIVC insertions and catheter failures, clinicians implemented an engineered securement device, educated staff pertaining to modifiable risk factors, and changed the practice to remove PIVCs upon clinical indication. This session will allow the learner to identify methods to safely increase the dwell time for PIVCs.

Learning Objectives: At the conclusion of this session, learners will be able to:

1.     Identify two interventions utilized to reduce the number of PIVCs per patient

2.     Summarize the cumulative outcomes of the interventions including reducing the number of PIVCs per patient, catheter failures, central line bloodstream infection (CLABSI) rates, cost savings, and location and gauge risk of failure

3.     List two change management methods utilized to implement the quality improvement initiative at the rural hospital

Carrie Kollar

Carrie Kollar is the practice transformation director of Ascension in St. Louis, Missouri. She is a registered nurse with over 20 years of health care experience primarily focused in leadership, vascular access, quality improvement, critical care, and education spanning the community, hospital, and long- term care. Dr. Kollar is a highly motivated, innovative, and detail-oriented team leader producing improved patient care outcomes and cost savings. She shares her passion, support, and experience as a mentor in the American Nurses Association Mentoring Program. She has served as the INS St. Louis Gateway chapter board treasurer for the past 2 years. Dr. Kollar’s presentation is a result of a project completed at Mercy Washington while she was pursuing her DNP degree.

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