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Thank you for all the feedback so far, much appreciated.
Kind Regards
Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.auHi Franciska,
At Liverpool we do not have a peripheral IV Team (would solve many issues if we did), however, our current policy is based around the current EBP literature of 72hrs (please check the “Clinically-indicated replacement versus routine replacement of peripheral venous catheters – Cochrane Review” by Webster, Osborne, Rickard and Hall 2010) for more information.
We have been looking at incorporating the VIP Scoring system (Andrew Jackson – Rotherham NHS, UK) into our policy to allow for an appropriately placed IV cannulae to remain insitu longer than 72hrs should there be no sign of local inflammation, redness, induration, swelling, infiltration or extravasation on daily shift checks.
Emergently placed cannulae should be replaced at the very earliest convenience or at 24hrs (whichever comes first).The other point to consider is that if a patient requires more than 3 cannulae for their intended therapy, then a more appropriate device should be placed i.e midline, PICC, CVC
This decision should be based around what we call the 5 Rights of Vascular Access which determines the following steps;
The ‘RIGHT’ trained clinician will insert,
The ‘RIGHT’ vascular device in the,
The ‘RIGHT’ vessel for the,
The ‘RIGHT’ patient at the,
The ‘RIGHT time.
Vessel Health and Preservation should be at the top of the list in regards to vascular access issues, regardless of the device being placed.Feel free to contact me if you need.
Tim..Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
[cid:image001.jpg@01CE4688.EB145D40]Good Morning to you all,
Our current Peripheral Intravenous Cannulation policy states; to resite a IV cannula every 72 hours. I know there is some debate on this issue and recent evidence suggests routine resite is unnecessary. Current recommendations are to resite IV Cannulas every 96 hours with the exception of children and patients with poor veins. Saying that, not all Hospitals has IV teams to resite all the necessary IV cannulas.
Could you please let me know if any of your organizations have an IV Team and when do you routinely resite patients cannulas?
Kind Regards
Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au________________________________
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______________________________________________________________________Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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I have been following this listserv thread and seeing the commentary around emergency inserted IVCs, thought I would contribute.
Ambulance Service of NSW has recently amended their cannulation procedure to include better documentation of when and where their cannulas are inserted. We now place a bright yellow sticker on the IV dressing stating Ambulance Inserted. This is in recognition of the fact that paramedics have substantial challenges to maintaining asepsis in their various work locations. ACT Ambulance also use a similar sticker.
We hope that procedure change will make it easier for hospital staff to identify those emergency cannulas.
Kate Hipsley
Manager Infection Control
Ambulance Service of NSWOn 01/05/2013, at 4:58 PM, Franciska Ferreira wrote:
> Thank you for all the feedback so far, much appreciated.
>
> Kind Regards
>
> Franciska Ferreira
> INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
> Burnside War Memorial Hospital
> 120 Kensington Road, Toorak Gardens, SA 5056
> t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
> Sent: Wednesday, 1 May 2013 4:11 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Routine resite of peripheral intravinous devices
>
> Hi Franciska,
> At Liverpool we do not have a peripheral IV Team (would solve many issues if we did), however, our current policy is based around the current EBP literature of 72hrs (please check the Clinically-indicated replacement versus routine replacement of peripheral venous catheters – Cochrane Review by Webster, Osborne, Rickard and Hall 2010) for more information.
> We have been looking at incorporating the VIP Scoring system (Andrew Jackson Rotherham NHS, UK) into our policy to allow for an appropriately placed IV cannulae to remain insitu longer than 72hrs should there be no sign of local inflammation, redness, induration, swelling, infiltration or extravasation on daily shift checks.
> Emergently placed cannulae should be replaced at the very earliest convenience or at 24hrs (whichever comes first).
>
> The other point to consider is that if a patient requires more than 3 cannulae for their intended therapy, then a more appropriate device should be placed i.e midline, PICC, CVC
>
> This decision should be based around what we call the 5 Rights of Vascular Access which determines the following steps;
> The RIGHT trained clinician will insert,
> The RIGHT vascular device in the,
> The RIGHT vessel for the,
> The RIGHT patient at the,
> The RIGHT time.
> Vessel Health and Preservation should be at the top of the list in regards to vascular access issues, regardless of the device being placed.
>
> Feel free to contact me if you need.
> Tim..
>
> Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
> Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
> Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
> Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
> Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
>
>
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
> Sent: Wednesday, 1 May 2013 11:12 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Routine resite of peripheral intravinous devices
>
> Good Morning to you all,
>
> Our current Peripheral Intravenous Cannulation policy states; to resite a IV cannula every 72 hours. I know there is some debate on this issue and recent evidence suggests routine resite is unnecessary. Current recommendations are to resite IV Cannulas every 96 hours with the exception of children and patients with poor veins. Saying that, not all Hospitals has IV teams to resite all the necessary IV cannulas.
>
> Could you please let me know if any of your organizations have an IV Team and when do you routinely resite patients cannulas?
>
> Kind Regards
>
> Franciska Ferreira
> INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
> Burnside War Memorial Hospital
> 120 Kensington Road, Toorak Gardens, SA 5056
> t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
>
>
> This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.
>
> ______________________________________________________________________
> This email has been scanned by the Symantec Email Security.cloud service.
> For more information please visit http://www.symanteccloud.com
> ______________________________________________________________________
>
> _____________________________________________________________________
> This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
> Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
> Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
> 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.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
>
>
> _____________________________________________________________________
> This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
> Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
>
> ______________________________________________________________________
> This email has been scanned by the Symantec Email Security.cloud service.
> For more information please visit http://www.symanteccloud.com
> ______________________________________________________________________
> Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
> 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.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
>
>
> ______________________________________________________________________
> This email has been scanned by the Symantec Email Security.cloud service.
> For more information please visit http://www.symanteccloud.com
> ______________________________________________________________________
> Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
> 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.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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
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