298,112 research outputs found
The deputy editor’s view
By now, many of you probably have heard about Marie Kondo’s KonMari method and her books Spark joy and The life-changing magic of tidying. I haven’t yet read these books (by the look of my desk, I probably need to!), but the catchy titles made me ponder how we could create some life-changing magic and spark joy in the vascular access world. We hear so many times about what goes wrong in our hospitals. I thought it would be fun to imagine a perfect world of vascular access, one that would spark joy.Full Tex
From the deputy editor
The Australian Commission on Safety and Quality in Health Care launched the long-awaited Management of Peripheral Intravenous Catheters (PIVCs) Clinical Care Standard (CCS) in May 2021. This national standard for short PIVC insertion and management is based on a review of national and international evidence-based practice guidelines and has been endorsed by a panel of vascular access and infection control experts from across Australia. Using the PIVC CCS to monitor and improve PIVC insertion and management at a local level helps organisations meet some of the accreditation requirements of the National Safety and Quality Health Service (NSQHS) Standards.Full Tex
Using audits as evidence
As the population ages, hospital patients are sicker and have more comorbidities. Too often, their vasculature is not ideal, especially if they have had multiple previous cannulations and insertion attempts. Furthermore, older and frail skin poses a challenge for dressing and securement. For this reason, it is more important than ever to choose wisely when making vascular access decisions, to ensure that whenever possible the first device is the best device.No Full Tex
Consider the patient's voice (Editorial)
Too often in the past, patient preference has not been considered a high priority when selecting a vascular access device (VAD). However, as patient populations become increasingly unwell, with complex health requirements necessitating reliable intravenous (IV) therapy amid rising healthcare costs, the concept of choosing the device that can best meet the physical and psychological needs of the individual patient is becoming more important.No Full Tex
New eviq central venous access device education and resources available
Central venous access devices (CVADs) are a mainstay for many patients receiving mid-to-long-term intravenous therapy. Cancer Institute of NSW programs, eviQ and eviQ Education, provide free online cancer treatment protocols and resources for clinicians, patients and carers. In 2021, the complete suite of eviQ CVAD resources were updated via extensive consultation with vascular access experts and the evidence-based literature to reflect the latest evidence for CVAD management. Resources include eLearning modules, clinical procedures, complication management algorithms, assessment and documentation tools, quizzes, and patient education materials. We encourage readers to explore and promote eviQ and eviQ Education for CVADs and share these resources with nursing, interventional radiology, or medical colleagues caring for patients with a CVAD, as well as patients and carers.Full Tex
Australian team fosters global nursing research
Nurses increasingly play a greater role in global health activities. strengthening interdisciplinary and interprofessional collaboration and partnerships, to reduce health and health care disparities based on wealth, education. gender and place.
Despite the prevalence of peripheral intravenous catheters (PIVC) in clinical practice, little is known about day-to-day insertion and management practices of these devices on a global scale.
The AVATAR Group in the School of Nursing and Midwifery has been playing a significant role in global nursing with its involvement in the One Million Global (OMG) Peripheral Intravenous Catheters (PIVC) worldwide prevalence study.Full Tex
Nurses
This chapter provides an introduction to the kinds of trauma experienced by front-line nurses and discusses the strategies available to mitigate trauma-related stress. Considering the extent of trauma witnessed by nurses in many practice environments, they are provided very little psychological training or support, and there is an expectation that nurses will deal with their own stress while prioritizing patient and organizational needs. The chapter presents evidence of interventions to reduce the burden of traumatic experiences, discussing what works and what doesn’t, and identifying areas for improvement. It is known that you can’t pour from an empty cup, and while nurses are often said to be “amazing,” no one is immune to the effects of cumulative stress. The salutogenic model offers the opportunity for nurses to grow and reshape their responses to traumatic events, creating a more resilient workforce that can provide more empathic care to patients and families. This chapter will argue that organizational imperatives and care for nurses are not competing priorities but are complementary.Full Tex
Challenging the status quo: Time to adopt the “80% sure” principle? (Editorial)
One of the goals of this journal is to encourage vascular access clinicians and researchers to question current practice and consider alternative ways of providing vascular access care. In this issue, we feature an article on the use of large-bore peripheral intravenous catheters (PIVCs) in women giving birth.Full Tex
I-DECIDED®—a decision tool for assessment and management of invasive devices in the hospital setting
Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.No Full Tex
Infection prevention: Peripheral intravenous catheter assessment and care
Peripheral intravenous catheters are the most common device in hospital patients, but they do come with infection risks. Awareness of the complications and regular assessment can reduce risks and improve patient outcomes.No Full Tex
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