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I-DECIDED® Assessment and Decision Tool

Posted by Gillian Ray-Barruel on 12 April 2019

Up to 70% of acute care hospital patients need a peripheral intravenous catheter (PIVC) for fluids or medicines.(1) Yet, up to 69% of PIVCs have painful complications or stop working before treatment is finished, requiring the insertion of a new device.(2) Device failure is painful for patients and time-consuming for staff, and can lead to increased morbidity, prolonged length of stay, and higher hospital costs.(2)

Regular, systematic assessment could help with prevention and early detection of complications.

I-DECIDED® is an evidence-based(3,4,5,6,7,8,9) assessment and decision tool for intravascular devices.(1)0 This simple checklist promotes comprehensive IV assessment and management, and prompts timely removal of IV devices.

For further information, please contact
Dr Gillian Ray-Barruel
AVATAR, Griffith University
Queensland, Australia
g.ray-barruel@griffith.edu.au

 

References
1. Alexandrou E, Ray-Barruel G, Carr P, et al. Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide. J Hosp Med. 2018;13(5).
2. Marsh N, Webster J, Larson E, et al. Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: A multivariable analysis of peripheral intravenous catheter failure. J Hosp Med. 2018;13(2):83-9.
3. HSE Health Protection Surveillance Centre. Prevention of intravascular catheter-related infection in Ireland. Update of 2009 national guidelines 2014b http://www.hpsc.ie/a-z/microbiologyantimicrobialresistance/infectioncontrolandhai/intravascularivlines/publications/File,4115,en.pdf
4. Loveday HP, Wilson JA, Pratt RJ, et al. epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2014;86, Supplement 1(0):S1-S70.
5. O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011;52(9):e162-93.
6. Queensland Health. PIVC guideline 2015 [https://www.health.qld.gov.au/publications/clinical-practice/guidelines-procedures/diseases-infection/governance/icare-pivc-guideline.pdf.
7. Royal College of Nursing. Standards for infusion therapy. London: RCN, 2016.
8. Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2016;39(1S):Suppl.
9. Seale H, Chughtai AA, Kaur R, et al. Ask, speak up, and be proactive: Empowering patient infection control to prevent health careacquired infections. Am J Infect Control. 2015;43(5):447-53.
10. Seale H, Chughtai AA, Kaur R, et al. Empowering patients in the hospital as a new approach to reducing the burden of health careassociated infections: The attitudes of hospital health care workers. Am J Infect Control. 2016;44(3):263-8.
11. Ray-Barruel G, Cooke M, Mitchell M, Chopra V, Rickard CM. Implementing the I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: protocol for an interrupted time-series study. BMJ Open. 2018;8.

Author: Gillian Ray-Barruel
About: Dr Gillian Ray-Barruel is a leading nurse researcher who coordinated the OMG Study which recruited more than 40,000 patients with PIVCs globally. Dr Ray-Barruel holds a joint appointment as a Senior Research Fellow at QEII Jubilee Hospital and Griffith University, Brisbane, Australia. She has extensive experience in vascular access devices research, critical care nursing, patient assessment, and project management. Dr Ray-Barruel is dedicated to improving assessment and decision-making by bedside clinicians to prevent patient complications and improve healthcare outcomes.
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Tags: intravenous catheter assessment vascular access devices IV management infection prevention phlebitis patient experience dressings securement flushing AVATAR group

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