摘要:

To obtain information on venous access devices (VADs) used far the treatment of patients with hemophilia and infections associated with the use of VADs, a questionnaire was sent to 153 hemophilia treatment centers in the United States and Puerto Rico. Information regarding the treatment of 10,421 patients and 568 VADs was obtained. Infections teem reported with 159 (45%) of 353 internal devices and 126 (71%} of 178 external devices. These results indicate that VADs used for the treatment of hemophilia are associated with significantly higher infection rates than are those used in oncology or mixed patient populations.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The introduction of the Landmark midline catheter (Menlo, Co., CA) brought an alternative to central line catheter placement for prolonged intravenous access. The study was initiated in 1993 to observe for complications, including hypersensitivity like reactions. The authors hypothesized this IV modality would decrease the need fur central IV lines and accompanying complications. At the time of catheter insertion, the, IV team nurses completed a survey form that included demographics, underlying disease, and risk, factors for infection. The catheter tip urns cultured at the time of removal. In the second phase of the study, the authors focused specifically on hypersensitivity-like reactions. During a 2-year period, 248 patients had 334 midline catheters. Patient ages ranged from 23 to 98 years {mean age, 65 years). The bacteremia rate was 0.3%; the colonization rate was 0.9%. Factors associated with infection/colonization included: length of time in place, chemotherapy, and luck of antibiotic administration. In the second phase of the study, daring which an additional 170 catheters were placed in 131 patients, no hypersensitivity-like reactions were noted. The midline catheter appears to be a safe method of IV fluid administration for patients with limited peripheral vein access who need extended IV therapy.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Home intravenous antibiotic infusion now is a safe end effective alternative to patient hospital admittance. With careful guidelines to provide appropriate patient selection, education, care planning and device selection, home antibiotic infusion can reap impressive results. Patients are more satisfied when they receive IV antibiotic therapy in the comfort of their homes. Intravenous nurses provide the skill and expertise necessary for quality home FV antibiotic infusions. Home health agencies venturing into the world of home infusion will benefit from this article. These guidelines are appropriate for most types of home. IV therapy, not merely antibiotic therapy.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Thrombotic complications of intravenous access represent an entire spectrum of disorders. This article addresses the incidence and occurrence of these complications. The symptoms of thrombotic disorders of the veins are presented along with their natural history. Treatment options are discussed, and the applications of preventative measures are covered, relevant to applications in IV: nursing.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This article describes some of the major causes of stress for nurses and other professional care givers who work with the dying, their families, and the bereaved. It specifically addresses the stress of cumulative grief in the work situation and its effects on the care giver. It also describes some of the strategies far the institution and the individual nurse that can be used to minimize the effects of stress and cumulative grief and can contribute to emotional health in this type of work.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Many authors demonstrate the cost effectiveness of using intravenous teams to provide quality venous access care. Despite this evidence, many hospitals are dissolving their IV teams as a way of cutting casts. This snide provides a guide for downsizing while maintaining quality IV therapy. The article chronicles events before and after the disbanding of the IV team of the San. Francisco Veteran's Administration Medical Center. The focus of the article demonstrates bow creating two advanced practice positions is instrumental to maintaining quality IV care.Quality is defined as line-associated bacteriemia rates and compliance rates to IV cure standards, remaining unchanged or better after the downsizing of the IV team. Line-associated bacteriemia rates are presented in terms of infections per 1000 tine days when possible. Compliance percentages are obtained by auditing compliance to site changes, central line policy. The data are provided in chart forms, and definitely show a sharp decline in line-associated bacteremias after the advent of the IV clinician role. These data provide dear evidence to support the Intravenous Nurses Society position on the role of the intravenous nurse specialist.Conclusions emphasize the used for IV nurse clinicians to provide critical care coverage, ongoing educational programs, outcome auditing, and nursing research in vascular access and IV therapy.

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0896-5846    

出版商:OVID    

年代:1998

数据来源: OVID