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Short Peripheral Catheter (SPC) Checklist: Think Safety, Insert Safely
The SPC Checklist was developed by and for infusion nurses to promote safe practices from start to finish of peripheral infusion therapy.
Noncytotoxic Vesicant Medications and Solutions
INS established a vesicant task force with the goal of developing an evidence-based list of noncytotoxic vesicant medications/solutions. Outside of oncology practice, there is not a list of noncytotoxic vesicants as established by a ­professional­ organization. ­INS ­identified ­the ­need ­to ­­address ­this ­gap ­based on ­the­ following­ ­premise:­the­ first­ step ­in­ preventing ­extravasation ­is ­the ­identification ­and ­recognition ­of ­vesicant­ drugs and solutions. The scope of work was limited to creating an evidence-based list of noncytotoxic vesicant medications/solutions and developing an extravasation checklist that outlines risk reduction strategies including early recognition of signs and symptoms of extravasation.
Recommendations for Frequency of Assessment of the Short Peripheral Catheter Site Position Paper
As many organizations choose to follow the Infusion Nurses Society (INS) recommendations for peripheral intravenous (IV) site rotation based on clinical indications rather than a specific time frame, INS recognizes the critical importance of site assessment to identify any signs of complications.
Improving Vascular Access and Care with Near Infrared (NIR) Technology
Peripheral venous access is an essential part of modern in-patient medical care that is poorly managed and has a high rate of failure. Patients and clinicians are frustrated because they wish it could be done better. Old fashioned concepts and inadequate attention to developing best practices has led to the creation of an epidemic of difficult vascular access patients. Our knowledge and experience are growing and with the help of vein visualization technology, we are at a turning point to help reduce the number of venipuncture attempts and better preserve veins. Near Infrared (NIR) technology is well suited to help us implement these best practices. It provides a rapid means to assess a patient’s venous options, identifies potential venous targets, and helps optimize catheter position. It has also been proven to reduce venipuncture attempts, improve first attempt success and prolong dwell times. It thus helps improve efficiency and reduce overall costs both materially and nursing time. NIR can also reduce the need for central venous access by providing more venous options, thus reducing the risk of CLABSI. NIR is an incredibly important tool for our approach to modern venous access best practice.
Infusion Therapy Standards of Practice 2016 to 2021 Crosswalk
This document highlights the notable revisions of the 2016 Infusion Therapy Standards of Practice to the current 2021 Infusion Therapy Standards of Practice. Clinicians are strongly encouraged to review the entire publication to help ensure infusion practices follow the most current evidenced-based data.
Short Peripheral Catheter Infiltration: Minimizing Risks to Improve Outcomes
Hospitalized patients receiving medications or fluids via short peripheral catheters (SPCs) are at risk for infiltration. Infiltration can increase patient length of stay, result in repeated vascular access procedures, increase costs by use of supplies and nursing time, lead to short-term and long-term patient harm, and decrease patient satisfaction. Early detection of infiltration can minimize risks by prompt intervention. Quality improvement projects have been directed toward staff education on SPC insertion, maintenance, assessment, and monitoring. This webinar will discuss current research and practice initiatives, as well as the benefits of emerging technology aimed at reducing infiltration.
Short Peripheral Intravenous Access: A Risk/Benefit Analysis
As the most common procedure performed in the acute care setting, insertion of the short peripheral intravenous (IV) catheter is a basic nursing skill. It is, however, far from benign. There is a lack of standardized education and competency assessment in this foundational skill. In addition, a lack of validated assessment tools has hindered accurate evaluation of the patient harm caused by complications such as infiltration, extravasation, phlebitis, and infection. This presentation will provide an overview and respond to audience questions regarding the use of short peripheral IV access and its role in the current standard of practice, the potential complications that arise with use, and strategies to optimize outcomes in the management of short peripheral IV access.
The Role of the Registered Nurse in the Insertion of Nontunneled Central Vascular Access Devices
As the result of requests from several state boards of nursing, INS convened a task force to determine if insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in the following INS position paper. (09/14/2017)
Intravenous Push Medication Safety: Reducing the Risk for Patient Harm
Infusion therapy is commonplace in many clinical settings, as is the administration of intravenous (IV) push medications. It is essential for nurses to have the knowledge to correctly administer IV push medications and manage the associated challenges. This presentation will examine current evidence-based practice, identify potential risks for errors and complications, and make recommendations for safer practices associated with IV push medication administration.