Trends in Reduction of IV site related complications Third QPEM - PowerPoint PPT Presentation

Trends in Reduction of IV site related complications Third QPEM Conference 11-13 th of January 2019 Name: Ms. Mayola Pais

DISCLOSURE I do not have any relevant financial relationship with commercial interest to disclose.

Learning Objectives At the end of the presentation, the attendee will be able to: Explain best evidence in reduction of IV site complications 1

Intravenous therapy is treatment that infuses Intravenous solutions Medications Blood and Blood products

The Big Challenge….. Infiltration Phlebitis Extravasation Thrombophlebitis Infection Hematoma

J Vasc Access. 2018 May;19(3):266-271. doi: 10.1177/1129729817747532. Epub 2018 Mar 5. Infiltration and extravasation in pediatric patients: A prevalence study in a children's hospital. Özalp Gerçeker G 1 , Kahraman A 2 , Yardimci F 2 , Bilsin E 3 , Binay Ş 2 , Çevik Özdemir HN 2 , Karakul A 4 , Zengin D 2 , Ardahan Sevgili S 2 , Gümü ş M 2 , Ba ş bakkal Z 2 , Akpınar S 5 . Infiltration ranks the highest among complications

We accept the challenge … Site Compare Size Look Dressing Touch

Evidence has its way…. Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to Reduce IV Site Related Complications - An Evidence-based Utilization Project. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Intravenous Therapy Team

Percentage of Intravenous Fluid Infiltration PEC AlSaad Percentage of Infiltration 0.40% 0.34% 0.30% 0.27% 0.29% 0.20% 0.19% 0.20% 0.17% 0.16% 0.12% 0.17% 0.10% 0.08% 0.26% 0.00% 0.00% Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Percentage of Intravenous Fluid Infiltration Target

Attention to Detail Accountabilit y Critical Thinking

References: • Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to Reduce IV Site Related Complications - An Evidence-based Utilization Project. Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, 1E Kent Ridge Road, Singapore 119228, Singapore. Electronic address: lay_kee_kek@nuhs.edu.sg. • Decreasing IV Infiltrates in the Pediatric Patient – System-Based Improvement Project - Tracie Wilt Major and Tricia K. Huey • Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Webster J 1 , Osborne S, Rickard C, Hall J.