Determining the Use of Peripheral Intravenous Catheter in Installed Patients with Some Markers

Yıl 2023, Cilt: 9 Sayı: 2, 227 - 235, 31.05.2023

Ufuk Kaya , Dilek Özçelik , Kaya Süer

https://doi.org/10.19127/mbsjohs.1202428

Öz

Objective: The aim of this study is to evaluate the medical conditions of patients who are inpatient with a peripheral intravenous catheter inserted in a private hospital in Northern Cyprus and to determine the frequency of use and risk factors that have occurred or may occur.

Methods: The research is descriptive and cross-sectional. All patients who are hospitalized in a private hospital in Northern Cyprus formed the universe. The data were collected using a form of with 18 items. Data collection was provided face-to-face with the patients and from their own patient files. Written informed consent was obtained from the university ethics committee, the university administration and the patients for the study.

Results: It was determined that most of the patients were male (49.09%) and peripheral intravenous use was more used (92.73%) in patients older than 18 years of age. It was determined that 98.18% of the patients had the date of the catheter documented, and 54.55% did not specify the insertion time. The anterior part of the arm was found to be the most common catheter application (36.36%). In 85.45% of the patients, a catheter-related problem(s) did not develop and 61.82% of them were evaluated in the last 24 hours.

Conclusion: The latest status of peripheral intravenous catheter applications and compliance and focus on internationally published guidelines in peripheral intravenous catheter applications and management bring about a serious improvement in surveillance, evaluation, decision-making, minimizing application errors, reducing the risk of complications, and documentation.

Anahtar Kelimeler

Catheter, intravenous, patient, peripheral

Kaynakça

• 1. Kuş B, Büyükyılmaz F. Current Guidelines Recommendations in Peripheral Intravenous Catheter Administration. GUJHS 2019;8(3):326-36.
• 2. Eren H, Topuz A, Türkmen AS. Determination of Knowledge and Skill Levels of Nursing Students on Peripheral Intravenous Catheter Placement. HUHEMFAD-JOHUFON 2020;7(2):113-21.
• 3. Çakar V. Intravascular Catheters and Prevention of Peripheral Venous Catheter-Related Infections. Journal of Education and Research in Nursing 2008;5(1):24-33.
• 4. Edgeworth J. Intravascular catheter infections. Journal of Hospital Infection 2009;73:323-30.
• 5. Demirel A, Efe-İris N, Çevik E, Koçulu S, Baygül A, Taşdelen-Fışgın N. Catheter-Related Bloodstream Infections: A Multicentric Five-Year Analysis. Klimik Journal 2019;32(2):117-22.
• 6. Zingg W, Pittet D. Peripheral venous catheters: an under-evaluated problem. International Journal of Antimicrobial Agents 2009;34S:S38-S42.
• 7. Hadaway L. Short Peripheral Intravenous Catheters and Infections. Journal of Infusion Nursing 2012:230-40.
• 8. Wallis MC, McGrail M, Webster J, Marsh N, Gowardman J, Playford EG et al. Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled Trial. Infection Control and Hospital Epidemiology 2014;35(1).
• 9. Zhang L, Gowardman J, Rickard CM. Impact of microbial attachment on intravascular catheter-related infections. International Journal of Antimicrobial Agents 2011;38:9-15.
• 10. Alexandrou E, Ray-Barruel G, Carr PJ, Frost S, Inwood S, Higgins N et al. International Prevalence of the Use of Peripheral Intravenous Catheters. Journal of Hospital Medicine 2015;10(8):530-3.
• 11. Morrell E. Reducing Risks and Improving Vascular Access Outcomes. Journal of Infusion Nursing 2020;43(4):222-8.
• 12. Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. Journal of Hospital Medicine 2018:E1-E7.
• 13. Gorski LA. The 2016 Infusion Therapy Standards. Continuing Education 2017;35(1):10-8.
• 14. Schaar GL, Mustata Wilson G. Evaluating Senior Baccalaureate Nursing Students’ Documentation Accuracy Through an Interprofessional Activity. Nurse Educator 2015;40(1):7-9.
• 15. O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the Prevention of Intravascular Catheter-Related Infections. MMVR 2002;51(RR-10).
• 16. Enes SMS, Opitz SP, Maia da Costa de Faro AR, da Luz Gonçalves Pedreira M. Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon. Journal of School of Nursing USP 2016;50(2):261-9.
• 17. Vandenbos F, Basar A, Tempesta S, Fournier JP, Bertrand F, Vanesland L, et al. Relevance and Complications of Intravenous Infusion at the Emergency Unit at Nice University Hospital. Journal of Infection 2003;46:173-6.
• 18. Ritchie S, Jowitt D, Roberts S. The Auckland City Ospital Device Point Prevalence Survey 2005: utilisation and infectious complications of intravascular urinary devices. The New Zealand Medical Journal 2007;120(1260).
• 19. Keleekai NL, Schuster CA, Murray CL, King MA, Stahl BR, Labrozzi LJ, et al Improving Nurses’ Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program. Simulation in Healthcare 2016;11(6):376-84.
• 20. Üzen Cura Ş, Atay S, Efil S. Infestigation of Nurses’ Level of Skills in Peripheral Venous Catheter Application. Journal of Ankara Health Sciences 2019;8(2):30-8.
• 21. Aydın S, Gürol Arslan G. Evaluation of Nurses' Knowledge Levels About Peripheral Intravenous Catheter Initiatives. DEUHFED 2018;11(4):290-9.
• 22. Milutinović D, Simin D, Zec D. Risk factor for phlebitis: a questionnaire study of nurses’ perception. Rev. Latino-Am. Enfermagem 2015;23(4):677-84.
• 23. O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. CID 2011;52:162-93.