Article

The strategic role of the nurse in the selection of IV devices

Division of Nursing, Diagnostic Center, Institute of Orthopedics and Traumatology, Hospital das Clínicas of the School of Medicine, University of Sao Paulo, São Paulo/SP, Brazil.
British journal of nursing (Mark Allen Publishing) 11/2012; 21(21):S28, S30-2. DOI: 10.12968/bjon.2012.21.Sup21.S28
Source: PubMed

ABSTRACT Use of vascular devices represents one of the most common procedures used as a complementary measure in the treatment of patients. An indication algorithm was established to serve as a guideline for nurses in choosing the best intravenous device, considering the main variables of drug therapy. A protocol approved by the Institute of Orthopedics and Traumatology of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), where the authors work, was subsequently established and the nurse carried out the evaluation for the indication of both the peripheral device and the central device, whether a peripherally inserted central catheter (PICC) or other device inserted by the physician. As a result, there was a decrease in the incidence of phlebitis from 0.77% in 2010 to 0.17% in 2011, with an annual curve of negative tendency. The nursing team also appeared more satisfied, diminishing stress related to puncture failure.

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