Home › Forums › Infexion Connexion › Best practice care of indwelling devices
- This topic has 0 replies, 3 voices, and was last updated 8 years, 4 months ago by
Thomson, Rachel EA (THS).
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AuthorPosts
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07/04/2016 at 9:16 am #72960
Dear colleagues,
We are currently reviewing best practice management of peripheral
intravenous cannulas (PIVCs), central venous access devices (CVADs), and
indwelling urinary catheters (IDCs).We are interested to know what interventions and strategies other health
care services have in the multidisciplinary care of these devices and
how such practices are sustained.For instance:
*How do staff undertake a daily review of an IDC and how do they
know when the device is due for change or removal?
*Is your documentation electronic or written and does it feature
prompts?
*Do you have patient education materials regarding these devices?
*How do you address IV line labelling in your organisation?
*What systems do you have in place to ensure best practice is
being maintained by staff?Your feedback on successful interventions in the care of PIVCs, CVADs
and IDCs (we are interested in any aspects of this and not limited to
the questions above) is most appreciated.Please feel free to contact me directly via my contact information
below.With thanks in advance,
Daniela
Daniela Karanfilovska
Clinical Nurse Consultant
Infection Prevention & Healthcare Epidemiologyt 03 90762819 m 0427 703769
e D.Karanfilovska@alfred.org.auAlfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 AustraliaAlfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
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07/04/2016 at 10:25 am #72962Hi Daniela
We have just instituted an ‘Invasive Device Log Sheet’ for staff to track the presence of invasive devices and their removal. It is also designed to prompt discussion about removal of unnecessary devices. We will be auditing the use of the log sheet in the next few months to ensure it is being used correctly. It does not replace insertion records, but simply records the existence of all invasive devices in the patient and their removal.
This is currently a printed form, but we are moving towards an electronic clinical record and it is proposed this will form party of it.
I can send you a copy of our log sheet if you are interested. The concept behind it was provided by our ID physician from another hospital.
We also have regular ward audits on line labelling that are reported to a medication committee for action.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailDear colleagues,
We are currently reviewing best practice management of peripheral intravenous cannulas (PIVCs), central venous access devices (CVADs), and indwelling urinary catheters (IDCs).
We are interested to know what interventions and strategies other health care services have in the multidisciplinary care of these devices and how such practices are sustained.
For instance:* How do staff undertake a daily review of an IDC and how do they know when the device is due for change or removal?
* Is your documentation electronic or written and does it feature prompts?
* Do you have patient education materials regarding these devices?
* How do you address IV line labelling in your organisation?
* What systems do you have in place to ensure best practice is being maintained by staff?
Your feedback on successful interventions in the care of PIVCs, CVADs and IDCs (we are interested in any aspects of this and not limited to the questions above) is most appreciated.Please feel free to contact me directly via my contact information below.
With thanks in advance,
DanielaDaniela Karanfilovska
Clinical Nurse Consultant
Infection Prevention & Healthcare Epidemiologyt 03 90762819 m 0427 703769
e D.Karanfilovska@alfred.org.auAlfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia
[cid:808501323@06042016-059C]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.auCONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom it is addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.
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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.
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07/04/2016 at 10:45 am #72963Hi Daniela,
We are currently trialling an invasive devices tracking sheet as well. It is focussed on indwelling rather than all invasive devices. This form has been designed to replace one that purely focussed on IVDs. We have tried to eliminate free text and have included prompts to plan for removal/replacement of all devices including IDCs.
In relation to your specific questions
* How do staff undertake a daily review of an IDC and how do they know when the device is due for change or removal?
On the new form we are trialling staff must record when a device is due for change or removal – this includes IDCs. This form is used to assist with bedside handover. It must be completed each shift as relevant* Is your documentation electronic or written and does it feature prompts?
Paper based bedside form, no specific prompts but staff are to record when a device is due for change/removal* Do you have patient education materials regarding these devices?
Not specifically at present* How do you address IV line labelling in your organisation?
We use a dressing with a date/ time of insertion label* What systems do you have in place to ensure best practice is being maintained by staff?
This form has a barcode and will be fully auditable with the ability to provide feedback on use and complianceIf you think our form we are trialling may be of interest you are welcome to let me know and I would be happy to share it with you off line, even though it is still being developed.
Kind regards
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-SouthPlease note that my number has changed from 8th March 2016 to
*: 03 6166 7882/ 6166 8658Level 4, H Block
48 Liverpool Street
Hobart, 7000Dear colleagues,
We are currently reviewing best practice management of peripheral intravenous cannulas (PIVCs), central venous access devices (CVADs), and indwelling urinary catheters (IDCs).
We are interested to know what interventions and strategies other health care services have in the multidisciplinary care of these devices and how such practices are sustained.
For instance:* How do staff undertake a daily review of an IDC and how do they know when the device is due for change or removal?
* Is your documentation electronic or written and does it feature prompts?
* Do you have patient education materials regarding these devices?
* How do you address IV line labelling in your organisation?
* What systems do you have in place to ensure best practice is being maintained by staff?
Your feedback on successful interventions in the care of PIVCs, CVADs and IDCs (we are interested in any aspects of this and not limited to the questions above) is most appreciated.Please feel free to contact me directly via my contact information below.
With thanks in advance,
DanielaDaniela Karanfilovska
Clinical Nurse Consultant
Infection Prevention & Healthcare Epidemiologyt 03 90762819 m 0427 703769
e D.Karanfilovska@alfred.org.auAlfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia
[cid:808501323@06042016-059C]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.auCONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom it is addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.
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.
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