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Asepsis for insertion of peripheral

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  • #73440
    Cath Murphy
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    Cath Murphy

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    I’ve been asked my opinion on whether or not PIVC insertion should be managed according to surgical aseptic technique rather than a general aseptic technique and I wondered what the general consensus is amongst members.

    I am aware of recent research and research interest around peripheral IVs just not sure on whether there have been significant policy changes or if practice is changing without policy change.

    Warm regards
    Cath

    Cathryn Murphy MPH PhD CIC
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    PO Box 3079
    Burleigh Town 4220
    OLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W: infectioncontrolplus.com.au

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    #73441
    Tim Spencer
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    Tim Spencer

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    Hi Cath,
    In the words of Dr Robert Helm (article attached) – “Consequently, any potential source of infection or other injuryespecially one leading directly to the bloodstream, such as peripheral IV cathetersmust be definitively addressed.
    Sterile insertion should be a minimum.
    A basic dressing pack/PIV insertion kit is essential to help create the sterile field – this cannot be achieved by placing PIV at the bedside with a kidney dish and an alcohol swab and dressing. Totally inappropriate.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
    Vascular Access Consultant
    E: tim.spencer68@icloud.com
    M: +1 (623) 326 8889 (USA)
    M: +61 (0)409 463 428 (AU)
    http://orcid.org/0000-0002-3128-2034

    > On Oct 13, 2016, at 11:20 PM, Dr Cathryn Murphy wrote:
    >
    > Ive been asked my opinion on whether or not PIVC insertion should be managed according to surgical aseptic technique rather than a general aseptic technique and I wondered what the general consensus is amongst members.
    >
    > I am aware of recent research and research interest around peripheral IVs just not sure on whether there have been significant policy changes or if practice is changing without policy change.
    >
    > Warm regards
    > Cath
    >
    > Cathryn Murphy MPH PhD CIC
    > Chief Executive Officer & Creative Director
    > Infection Control Plus Pty Ltd
    > PO Box 3079
    > Burleigh Town 4220
    > OLD, Australia
    >
    > E: Cath@infectioncontrolplus.com.au
    > M: +61 428 154154
    > W: infectioncontrolplus.com.au
    >
    >
    >
    > MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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    #73444
    Anonymous
    Inactive

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    Anonymous

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    Hi Cath

    Fully agree with Tim, and Dr Helms article is one I reference frequently for during my teaching.

    This is the minimum standard (use a dressing pack) at our facility & is taught through our skills centre. Unfortunately many lose the good habits once out on the floor. We will be launching an PIVC starter kit in the next couple of weeks. I am hoping this will make a difference.

    Thanks

    Mandy Davidson
    RN DipPHTM MPHTM JCU
    CNC Infection Prevention & Control
    Townsville Hospital & Health Service
    Pathology Building
    IMB 38
    P: 4433 3567
    Mob: *5535
    Mandy.Davidson@health.qld.gov.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
    Sent: Monday, 17 October 2016 8:10 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Asepsis for insertion of peripheral

    Hi Cath,
    In the words of Dr Robert Helm (article attached) – “Consequently, any potential source of infection or other injuryespecially one leading directly to the bloodstream, such as peripheral IV cathetersmust be definitively addressed.
    Sterile insertion should be a minimum.
    A basic dressing pack/PIV insertion kit is essential to help create the sterile field – this cannot be achieved by placing PIV at the bedside with a kidney dish and an alcohol swab and dressing. Totally inappropriate.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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