Posted in peripheral intravenous catheter

PIVCs in Neonates: Caution advised!

Posted by Lizzy Ostwald on 20 September 2021
PIVCs in Neonates: Caution advised!
Peripheral intravenous cannulation (PIVC) is commonplace in the neonatal setting, particularly in premature and critically unwell neonates who are unable to regulate homeostatic balance.1 Cannulation of a neonate can be difficult, given the significantly smaller venous anatomy and compromised skin integrity which can lead to localised toxicity and inflammation.2 Failure rates can be high, with 95% of PIVCs being removed due to complications including occlusion, leaking and extravasation inju...
Posted in:peripheral intravenous catheterassessmentneonate  

Tips for PIVC Location and Size

Posted by Lizzy Ostwald on 19 August 2021
Of the 11 million Australians accessing care in a hospital each year, an estimated 7.7 million will receive a peripheral intravenous catheter (PIVC), also called a cannula, meaning this procedure is commonplace, particularly in the emergency department.(1) Although this is such a common procedure, first-attempt failure rates are high, with an estimated 40% failure rate in adults and 65% in the paediatric population.(1) All clinicians who are cannulation competent must be abl...
Posted in:peripheral intravenous cathetercannulapatient experienceIV insertionvessel health  

PIVCs in the Emergency Department

Posted by Lizzy Ostwald on 15 July 2021
PIVCs in the Emergency Department
The emergency department is a fast-paced, hectic and often unpredictable environment. In the 2019-2020 financial year, Australian EDs treated 8,236,159 patients, reviewing an average of 22,600 patients per day (1). Often working under duress and having to make clinical decisions within a very narrow timeframe, ED clinicians must quickly identify what a critically unwell patient needs in order to be stabilised (2,3). Achieving vascular access usually means urgent insertion of a peripheral ...
Posted in:peripheral intravenous catheterinfection preventioninsertionvascular access devices  

Can I draw blood from a PIVC?

Posted by Lizzy Ostwald on 7 July 2021
Can I draw blood from a PIVC?
Drawing blood from a cannula is a routine practice in some clinical environments. But is this best practice or will the blood become too haemolysed to provide accurate results? Drawing blood from a peripheral intravenous catheter/cannula (PIVC) is a routine practice in clinical environments such as the emergency department, rationalised as one less invasive test that a patient is subjected to. A PIVC should never be inserted just to draw blood or 'just in case' it's needed late...
Posted in:peripheral intravenous catheterblood samplingvenepuncture  

Preventing IV complications podcast

Posted by Gillian Ray-Barruel on 5 July 2021
Those who know me understand how passionate I am about PIVC care! In this Osler podcast, Dr Todd Fraser and I discuss best practice of PIVC insertion and maintenance, with essential tips for infection prevention and good cannula assessment and management. If you like this podcast, I encourage you to check out the Osler website and download the free My Osler app. They have lots of excellent education podcasts and learning modules for all kinds of healthcare professionals.&nbsp...
Posted in:peripheral intravenous catheterdressingseducationinfection preventionsecurement  

PIVC Essentials: Three Tips for New Grads

Posted by Lizzy Ostwald on 28 June 2021
PIVC Essentials: Three Tips for New Grads
"Hi, I'm Lizzy, and I'm in my final semester of a dual bachelors of nursing and midwifery, and am fortunate to be undertaking a Winter Research program with the AVATAR group. I have decided to focus on tips for a new grad as my first topic as I am going to be a grad at the start of next year, and I believe that a lot of benefit can be gained from easy access to summarised, accurate information."  Coming into the hospital setting as a graduate nurse, or 'grad...
Posted in:peripheral intravenous cathetercannulaIV managementevidence-based practice  

Management of PIVCs - Clinical Care Standard

Posted by Gillian Ray-Barruel on 9 June 2021
Safe and effective insertion, maintenance and removal of Peripheral Intravenous Catheters has never been easier. The new Management of PIVC Clinical Care Standard by the Australian Commission on Safety and Quality in Health Care provides straightforward, evidence-based guidance for clinicians. It also describes the care that patients should expect to receive if they have a PIVC inserted during a hospital stay. For further information and downloadable resources for clinicians and patient...
Posted in:peripheral intravenous catheterIV managementpatient safetyvascular access devices  

New! Peripheral Intravenous Catheters Clinical Care Standard

Posted on 5 May 2021
Why we need to re-think our use of PIVCs - hear from the experts The insertion of a peripheral intravenous catheter (PIVC) or 'cannula' is one of the most common procedures performed in hospital, yet it is associated with a range of problems and can cause significant harm if not managed properly. REGISTER NOW for the live online launch to mark the release of Australia's Management of Peripheral Intravenous Catheters Clinical Care Standard, which will change our approach t...
Posted in:peripheral intravenous cathetercannulainfection preventionIV managementpatient safetyIV insertionvessel health  

What's best practice to maintain cannula patency?

Posted by Gillian Ray-Barruel on 27 October 2020
Have you ever wondered what's best practice for maintaining IV patency? This video reveals the science behind the practice. We've updated our FAQ to help you deliver the best care when your patient needs to keep the vein open (kvo) via slow continuous infusion or intermittent flushing. To find out more about slow continous infusion (kvo), click here. To find out more about intermittent flushing, click here.   ...
Posted in:keep vein openkvopatencyperipheral intravenous cathetercannulaflushingintravenous catheter  

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