A time and motion study of peripheral venous catheter flushing practice using manually prepared and prefilled flush syringes

Journal of Infusion Nursing

Volumn 37, Issue 2, 2014, Pages 96-101

  Keogh, Samantha ^a,b   Marsh, Nicole ^a,b   Higgins, Niall ^a,c   Davies, Karen ^b   Rickard, Claire ^a,b  

^a GRIFFITH UNIVERSITY   (Australia)

^b ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^c QUEENSLAND HEALTH   (Australia)

Author keywords

ANTT; flush; guidelines; nurse; peripheral intravenous catheter; practice; prefilled; time

Indexed keywords

ARTICLE; CLINICAL PROTOCOL; COMPARATIVE STUDY; FEMALE; FLUSHING; HUMAN; HUMAN EXPERIMENT; MALE; MEDICAL DEVICE COMPLICATION; MOTION; NORMAL HUMAN; OBSERVATIONAL STUDY; PERIPHERAL VENOUS CATHETER; PRACTICE GUIDELINE; PRIORITY JOURNAL; REGISTERED NURSE; SYRINGE; TIME; CATHETER; TASK PERFORMANCE;

CATHETERS; GUIDELINE ADHERENCE; SYRINGES; TIME AND MOTION STUDIES;

EID: 84896387148     PISSN: 15331458     EISSN: 15390667     Source Type: Journal    
DOI: 10.1097/NAN.0000000000000024     Document Type: Article

References (34)

1. Hadaway L . Short peripheral intravenous catheters and infections . J Infus Nurs . 2012 ; 35 ( 4 ): 230-240.
2. Maki DG . Improving the safety of peripheral intravenous catheters . BMJ . 2008 ; 337 : a630.
3. Maki DG , Kluger DM , Crnich CJ . The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies . Mayo Clin Proc. 2006 ; 81 ( 9 ): 1159-1171.
4. Zingg W , Pittet D . Peripheral venous catheters: an under-evaluated problem . Int J Antimicrob Agents . 2009 ; 34 ( suppl 4 ): S38-S42.
5. Maki DG , Ringer M . Risk factors for infusion-related phlebitis with small peripheral venous catheters: a randomized controlled trial . Ann Intern Med . 1991 ; 114 ( 10 ): 845-854.
6. Malach T , Jerassy Z , Rudensky B , et al. Prospective surveillance of phlebitis associated with peripheral intravenous catheters . Am J Infect Control . 2006 ; 34 ( 5 ): 308-312.
7. Rickard CM , Webster J , Wallis MC , et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial . Lancet . 2012 ; 380 ( 9847 ): 1066-1074.
8. Sackett DL , Rosenberg WM , Gray JA , Haynes RB , Richardson WS . Evidence-based medicine: what it is and what it isn?t . BMJ . 1996 ; 312 ( 7023 ): 71-72.
9. Webster J , Clarke S , Paterson D , et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial . BMJ . 2008 ; 337 : a339.
10. Webster J , Lloyd S , Hopkins T , Osborne S , Yaxley M . Developing a research base for intravenous peripheral cannula resites (DRIP trial): a randomised controlled trial of hospital in-patients . Int J Nurs Stud. 2007 ; 44 ( 5 ): 664-671.
11. Webster J , Osborne S , Rickard C , Hall J . Clinically-indicated replacement versus routine replacement of peripheral venous catheters . Cochrane Database Syst Rev . 2010 ; 3 : CD007798.
12. Goode CJ , Titler M , Rakel B , et al. A meta-analysis of effects of heparin flush and saline flush: quality and cost implications . Nurs Res . 1991 ; 40 ( 6 ): 324-330.
13. Peterson FY , Kirchhoff KT . Analysis of the research about heparinized versus nonheparinized intravascular lines . Heart Lung. 1991 ; 20 ( 6 ): 631-640.
14. Randolph AG , Cook DJ , Gonzales CA , Andrew M . Benefit of heparin in peripheral venous and arterial catheters: systematic review and meta-analysis of randomised controlled trials . BMJ. 1998 ; 316 ( 7136 ): 969-975.
15. Fernandez RS , Griffiths RD , Murie P . Peripheral venous catheters: a review of current practices . J Infus Nurs. 2003 ; 26 ( 6 ): 388-392.
16. Flint A , McIntosh D , Davies MW . Continuous infusion versus intermittent flushing to prevent loss of function of peripheral intravenous catheters used for drug administration in newborn infants . Cochrane Database Syst Rev. 2005 ; 4 : CD004593.
17. Rowley S , Clare S . Improving standards of aseptic practice through an ANTT trust-wide implementation process: a matter of prioritisation and care . Br J Infect Prev . 2009 ; 10 ( 1 ): S4.
18. Rowley S . Theory to practice. Aseptic non-touch technique. Nurs Times. 2001 ; 97 ( 7 ): 6-81.
19. National Health and Medical Research Council . Australian Guidelines for the Prevention and Control of Infection in Healthcare . Canberra, Australia : Commonwealth of Australia ; 2010.
20. Aziz AM . Improving peripheral IV cannula care: implementing high-impact interventions . Br J Nurs . 2009 ; 18 ( 20 ): 1242-1246.
21. Aziz AM . Variations in aseptic technique and implications for infection control . Br J Nurs. 2009 ; 18 ( 1 ): 26-31.
22. Taxis K , Wirtz V , Barber N . Variations in aseptic techniques during preparation and administration of intravenous drugs-an observation-based study in the UK and in Germany . J Hosp Infect . 2004 ; 56 ( 1 ): 79-81.
23. Association for Safe Aseptic Practice . Aseptic Non Touch Technique (ANTT) . 2012.
24. Queensland Health . Insertion and Management of Peripheral Intravenous Catheters Guideline . In: Centre for Healthcare Related Infection Surveillance and Prevention . editor. Brisbane, Australia : Queensland Government ; 2011.
25. Hadaway L . Technology of flushing vascular access devices . J Infus Nurs . 2006 ; 29 ( 3 ): 129-145.
26. Macklin D . What?s physics got to do with it ? J Vascular Access Devices . 1999 ; 4 ( 2 ): 7-13.
27. Perucca R . Peripheral venous access devices . In: Alexander M , Corrigan A , Gorski L , Hankins J , Perucca R , eds. Infusion Nursing: An Evidence-Based Approach . 3rd ed . St Louis, MO : Saunders-Elsevier ; 2010 : 456-479.
28. Calop J , Bosson JL , Croize J , Laurent PE . Maintenance of peripheral and central intravenous infusion devices by 0.9% sodium chloride with or without heparin as a potential source of catheter microbial contamination . J Hosp Infect . 2000 ; 46 ( 2 ) 161-162.
29. Trautmann M , Zauser B , Wiedeck H , Buttenschon K , Marre R . Bacterial colonization and endotoxin contamination of intravenous infusion fluids . J Hosp Infect . 1997 ; 37 ( 3 ): 225-236.
30. Bertoglio S , Rezzo R , Merlo FD , et al. Pre-filled normal saline syringes to reduce totally implantable venous access deviceassociated bloodstream infection: a single institution pilot study . J Hosp Infect. 2010 ; 84 ( 1 ): 85-88.
31. Australian Commission on Quality and Safety in Health Care . National Recommendations for User-Applied Labelling of Injectable Medicines, Fluids and Lines . Sydney, Australia : Australian Commission on Quality and Safety in Health Care ; 2012.
32. National Patient Safety Agency . Patient Safety Alert 20: Promoting Safer Use of Injectable Medicines . London, UK : National Patient Safety Agency ; 2007.
33. Valentin A , Capuzzo M , Guidet B , et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study . BMJ . 2009 ; 338 ; b814.
34. Wheeler DW , Degnan BA , Sehmi JS , Burnstein RM , Menon DK , Gupta AK . Variability in the concentrations of intravenous drug infusions prepared in a critical care unit . Intensive Care Med . 2008 ; 34 ( 8 ): 1441-1447