Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion
Uploaded by isdorotieno on Jan 28, 2015
Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion
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Introduction
The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the today’s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patent’s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients.
Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine the application of specific steps for peripheral venous catheters insertion in clinical practice and implementation of a multimodal intervention with an aim of improving both optimum order and compliance with the steps. Results indicated that 202 insertions were observed during the intervention period and 207 in the control period (Kampf et al, 2013). Compliance significantly improved for 4 to 5 steps that are 11.6% - 57.9% for disinfection of hand before contact with the patient (Kampf et al, 2013). Skin antisepsis of the site of puncture compliance was high after and before intervention (99% after and 99.5% before). Specific steps performance in the correct order also improved, which is from 7.7% - 68.6% when 3-5 steps were done. From the description of the intervention by participants, 46.8% said it was helpful, 46.8% as neutral and 6.4% as disruption (Kampf et al, 2013). This indicated that a multimodal strategy, of improving compliance with peripheral venous safety steps of insertion of catheter and optimum procedure performance, was effective and regarded as helpful by the health professionals.
Bofah et al (2012) conducted a...