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Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society

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https://read.qxmd.com/read/30589720/unforeseen-dangers-drugs-that-are-hazardous-to-health-care-personnel
#1
Patricia C Kienle
Antineoplastic and other hazardous drugs present a risk to health care personnel if they are not contained by appropriate facility design, personal protective equipment, and work practices that support safety. These drugs pose the risk of carcinogenicity and reproductive risks to personnel, which can be mitigated by using the proper containment practices.
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30589719/pulsatile-flushing-a-review-of-the-literature
#2
REVIEW
Christina Boord
Flushing is an essential strategy in maintaining patency of a central vascular access device. However, there is no standard practice regarding flushing techniques. Pulsatile flushing has been discussed in the past based on the principles of fluid dynamics. Recently, in vitro studies regarding pulsatile flushing have shed light on the usefulness of this technique. A critique of the current literature regarding pulsatile flushing compared with standard continuous flushing is presented here.
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30589718/quality-improvement-initiative-reduces-the-occurrence-of-complications-in-peripherally-inserted-central-catheters
#3
Beth Walters, Chelsey Price
Peripherally inserted central catheters (PICCs) are commonly used to access the central venous system. However, central vascular access devices are associated with a risk of complications, which may include infection, thrombosis, occlusion, or malposition. The vascular access team of 1 midwestern hospital used a quality improvement initiative to reduce the occurrence of complications associated with PICCs. A secondary aim was to reduce the number of alteplase (Cathflo Activase; Genentech, South San Francisco, CA) doses administered...
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30589717/improving-aseptic-technique-during-the-treatment-of-pediatric-septic-shock-a-comparison-of-2-rapid-fluid-delivery-methods
#4
Hillary Spangler, Mark Piehl, Andrew Lane, Galen Robertson
Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation-the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)-were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow...
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30589716/trends-in-infusion-administrative-practices-in-us-health-care-organizations-an-exploratory-analysis
#5
Benjamin R Pratt, Benjamin B Dunford, Mary Alexander, Frederick P Morgeson, Timothy J Vogus
While specialized infusion clinical services remain the standard of care, widespread curtailing and disbanding of infusion teams as a cost-cutting measure has been documented in health care organizations for nearly 2 decades. Owing to this trend, as well as recent government interventions in medical error control, the authors engaged in an exploratory study of infusion administration practices in the US health care industry. This article presents the authors' exploratory findings, as well as their potential implications...
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30589715/choose-to-lead
#6
Mary Alexander
No abstract text is available yet for this article.
January 2019: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399074/improving-vascular-access-outcomes-and-enhancing-practice
#7
Valerie Platt, Seth Osenkarski
With most hospitalized patients requiring peripheral intravenous catheters (PIVCs), PIVC-related process improvement may substantially affect the health, safety, and satisfaction of patients and health care workers, in addition to reducing costs. This study examined PIVC practice-related metrics before and after a comprehensive process improvement program, which included a change to closed catheter technology. Data were obtained from observations, clinician interviews, and patient records. Metrics included assessment of risk, especially blood exposure and contamination; measurement of insertion efficiency; and quantification of PIVC failure...
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399073/does-the-use-of-an-infusion-pump-for-red-blood-cells-increase-hemolysis
#8
Andrea Centrella-Nigro, Joseph Scarano, Nadine Ramraj
Transfusions of red blood cells (RBCs) are frequently administered for a variety of clinical conditions. The use of an infusion pump has become common practice in nursing. Lack of evidence regarding hemolysis associated with transfusing older RBCs using an infusion pump led one 361-bed acute care suburban medical center to maintain its nursing policy to infuse all blood products by gravity. A combined simulated and clinical study was conducted with 25 units of RBCs. No significant hemolysis was demonstrated as measured by hemolysis index and serum potassium levels...
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399072/short-peripheral-catheter-quality-and-economics-the-intravenous-quotient
#9
Randall K Jones
Peripheral intravenous therapy is an established therapy with known complications and failures. The burden of the cost of unsuccessful short peripheral catheter (SPC) placement and maintenance is not always clearly identified. This often-obscured cost of poor quality needs to be defined and addressed. The scope of the problem is defined here, and a metric that can be applied to measure the magnitude of the problem and identify targets for focused improvement initiatives that would improve the quality of infusion therapy using SPCs is proposed...
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399071/standard-short-peripheral-catheters-spcs-versus-power-injectable-spcs-during-contrast-computed-tomography-and-magnetic-resonance-imaging-angiography-a-quality-improvement-study
#10
Virginia Pohlod
To perform high-resolution computed tomography and magnetic resonance imaging angiographies, contrast typically is rapidly injected through a 20-gauge or larger short peripheral catheter (SPC). Intravenous access in infants and children can be challenging, and the use of large-gauge catheters is not always feasible. An institutional review board-approved quality improvement study was undertaken at a 250-bed pediatric hospital on Florida's Gulf Coast that compared the use and outcomes of standard SPCs (nonfenestrated) versus a power injectable SPC (fenestrated with 3 side holes distal to the catheter tip)...
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399070/implementation-of-smart-pump-technology-with-home-infusion-providers-an-assessment-of-clinician-workflow-and-patient-satisfaction
#11
Thomas D Brown, Martha Michael, David S Grady
While hospitals have adopted smart pump technology (SPT) featuring drug libraries and medication safety software, most home infusion providers (HIPs) continue to use traditional infusion pumps that don't offer drug libraries or medication safety software. As infusion delivery is moving from the hospital to the home, the purpose of this study was to determine whether SPT was a feasible alternative at both a hospital-based and a rural HIP. HIP personnel were trained on an ambulatory infusion pump. Patients requiring home infusion used the pump and recorded daily pump interactions for 5 to 7 days...
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30399069/let-s-take-care-of-each-other
#12
Mary Alexander
No abstract text is available yet for this article.
November 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188875/continuing-education-for-nursing-contact-hours-and-crni%C3%A2-recertification-units
#13
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188454/best-practices-in-the-management-of-central-vascular-access-devices-an-observational-study-in-areas-with-a-high-prevalence-of-trained-nurses
#14
Giovanni Di Fine, Giuliana Centini, Dario Gavetti, Patrizia Lemma, Franco Cavallo, Andrea Pici, Lorenza Garrino, Valerio Dimonte
Since 2009, the Department of Continuing Education at the Orthopedic and Trauma Center Hospital in Turin, Italy, has provided a training course for nurses in the management of central vascular access devices (CVADs). The course focuses on dressing and flushing procedures, as well as compliance with other CVAD guidelines. An observational study was conducted among nurses to determine the level of best practices in areas with a high prevalence of nurses trained in the management of CVADs. A correlation was observed between best practices and having attended the course, but other variables also influenced best practices...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188453/perceptions-of-infusion-pump-alarms-insights-gained-from-critical-care-nurses
#15
Rachel R Vitoux, Catherine Schuster, Kevin R Glover
Between 1983 and 2011, equipment-related alarms in critical care have increased from 6 to 40 different alarm types. As nurses become overwhelmed, distracted, or desensitized by alarm noise, they may miss critical alarms that could result in patient harm. The findings of an infusion pump alarm survey indicated that nurses overwhelmingly agree that infusion pump nuisance alarms occur frequently and disrupt patient care. But nurses' perceptions of pump alarms are different from those previously reported for clinical alarms in general...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188452/evaluation-of-a-magnetic-tracking-and-electrocardiogram-based-tip-confirmation-system-for-peripherally-inserted-central-catheters-in-pediatric-patients
#16
Nina Rosche, Wolfgang Stehr
The purpose of this study was to investigate whether a magnetic tracking and electrocardiogram-based tip confirmation system (TCS) (Sherlock 3CG Tip Confirmation System; Bard, Covington, GA) permits safe and correct placement of a peripherally inserted central catheter (PICC) in the pediatric population. A total of 144 PICCs were placed using the TCS. After excluding participants for various reasons, 112/121 (92.56%) of PICCs were appropriately placed using the TCS. The TCS confirmed tip location an average of 7 to 18 minutes faster than radiographic imaging...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188451/effects-of-thermomechanical-stimulation-during-intravenous-catheter-insertion-in-adults-a-prospective-randomized-study
#17
Roberta E Redfern, Jennifer Micham, Deana Sievert, John T Chen
This was an open-label, randomized clinical trial comparing the effects of thermomechanical stimulation (Buzzy) versus no intervention in 105 adults undergoing intravenous (IV) catheter insertion before elective orthopedic surgical procedures. A visual analog scale was used to measure pain; satisfaction questionnaires were administered after IV catheter insertion. There was no significant difference in the mean pain score between the experimental (n = 49) and control (n = 56) groups (2.52 vs 2.43, P = .86)...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188450/ins-2018-eposter-presentations
#18
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/30188449/authors-beware-of-predatory-publishing
#19
Mary Alexander
No abstract text is available yet for this article.
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/29863538/ketamine-infusions-for-outpatient-pain-management-a-policy-development-project
#20
Cheryl A Allen, Ruth Conner, Julius R Ivester
Current literature supports using ketamine for both acute and chronic pain management. It is imperative that the development of evidence-based protocols and policies keep pace with health care delivery to ensure patient safety. This project's objective was to formulate an outpatient ketamine infusion policy that promotes consistent and evidence-based care within a specified hospital system. This policy addresses potential side effects and minimization of adverse events by addressing patient selection, level of nursing care required, appropriate monitoring, and staff education...
September 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
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