Pediatric nursing
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Determination of an acceptable practice standard for peripheral intravenous (PIV) insertion as well as insertion success rates of inpatient medical/surgical registered nurse (RN) staff at Children's Hospital, Omaha, NE, was examined. The prospective study consisted of a non-randomized sample of 249 total i.v. placements. The inpatient medical/surgical registered nurse (RN) staff and patients were used as study participants. ⋯ Additionally, the medical/surgical RN staff successfully placed 85% of the medical/surgical PIVs. As a result of this study, the standard of practice is now defined as no greater than four attempts at insertion by RN staff. Future data should be collected in order to substantiate a defined standard for PIV placement.
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Cystic fibrosis (CF) is a common fatal genetic disorder characterized by chronic pulmonary infections, some of which require intravenous (i.v.) antibiotics. Peripherally inserted central catheters (PICCs) have proven to be an effective means of i.v. delivery in a variety of populations. An evaluation of the effectiveness of the use of PICCs for patients at a CF center in New England was conducted over a 25-consecutive month period. ⋯ Complications included external breaks in the catheters, shoulder pain, phlebitis, catheter occlusion, accidental dislodgement, local irritation at the insertion site, and yeast infection at the insertion site. No long-term sequelae resulted, and the rate of i.v. antibiotic completion with this mode of i.v. access was high. As a result of the evaluation, PICC access remains the standard of care at this institution for patients with CF requiring i.v. antibiotics for pulmonary exacerbations.
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Biography Historical Article
Honor Society of Nursing recognizes nurse researcher. Kathryn Barnard.