Journal of intravenous nursing : the official publication of the Intravenous Nurses Society
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Review
Intravenous conscious sedation. Physiologic, pharmacologic, and legal implications for nurses.
Nurses with proper additional training can safely assist in the care of patients receiving intravenous conscious sedation for a variety of procedures. Sedation exists along a continuum, with subtle differences between lighter and deeper levels of sedation. ⋯ Pharmacologic agents may provide anxiolysis, amnesia, sedation, or analgesia. Legal considerations, policy development, and educational requirements for nurses choosing to practice in this expanded role are examined.
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Comparative Study Clinical Trial Controlled Clinical Trial
A comparative study of two securement techniques for short peripheral intravenous catheters.
Previous studies have examined complications with short peripheral catheters, although focus on securement techniques and the relation to catheter dislodgment as an early indicator of potential intravenous complications is limited. The purpose of this study was to examine two methods of peripheral catheter securement: transparent dressing and tape (control group) versus transparent dressing and StatLock i.v./PICC (study group) and their effects on i.v. complications. ⋯ The use of transparent dressing and StatLock showed a 45% reduction in overall i.v. therapy complications when compared with that of transparent dressing and tape (P = 0.025). In addition, catheter dislodgment episodes were reduced by 40% (P = 0.002) with the average dwell time extended by 21 hours.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized study comparing IV 3000 (transparent polyurethane dressing) to a dry gauze dressing for peripheral intravenous catheter sites.
Patients with an intravenous catheter on a cardiology unit were prospectively randomized to receive a transparent polyurethane dressing (N = 49) or sterile gauze (N = 31) dressing to compare security of fixation, dressing condition, skin condition, and rates of inflammation. The mean age of patients was 63 years of age (standard deviation, 12.57), and the average length of cannulation was 18 hours. The only significant difference between the two groups was the dressing condition in the transparent group was significantly better (P = 0.006) than that of the gauze group. The results suggest that gauze dressing may be a viable option to cover i.v. exit sites for patients requiring short-term cannulation.
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Practice Guideline Guideline
The role of the licensed practical nurse and the licensed vocational nurse in the clinical practice of intravenous nursing. The Intravenous Nurses Society.
The Intravenous Nurses Society (INS) believes that the intravenous trained licensed practical nurse and the licensed vocational nurse can aid in the delivery of some aspects of intravenous therapy under the supervision of the registered nurse; however, the registered nurse shall be the primary practitioner in this specialty.
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Infection has been identified as a potentially life-threatening complication of central venous catheterization. The type of dressing applied to the catheter site has been suggested to influence the incidence of catheter-related infection. Although numerous research studies were conducted before 1990 and in the past 5 years to compare the effect of gauze and transparent dressing on the infection rate of central venous catheters, results are conflicting. This literature review analyzes some of those efforts.