Transcript Peripheral Intermittent Infusion Device - Maggie VeVone

Peripheral Intermittent Infusion Device
(PRN Lock)
Evidence Based Practice
 Clients who received intermittent IV therapy via a
saline lock were more independent with regard to
ability to perform self care ADLs than those who
received continuous IV therapy
Normal Saline VS. Heparin
The American Journal of Health- System Pharmacy
states the following:
 0.9% sodium chloride is the preferred method over
heparin flushes
 0.9% sodium chloride is as effective and is safer due to
decreased potential for adverse effects
 0.9% sodium chloride avoids drug incompatibilities
 0.9% sodium chloride is a cost-effective alternative
Site Changes
 The CDC recommends:
1.) There is no need to replace IV sites more frequently
than every 72-96 hours
2.) Changing sites prevents phlebitis and catheter related
infections
3.) These risks increase >72 hours
4.) 72-96 hour intervals reduce risk for infection as well
as patient discomfort
Evidence Based Practice
 The British Journal of Nursing states:
1.) IV route is a portal of entry for infection
2.) Health care workers should see every patient as
susceptible to infection
3.) Follow standard infection control regarding IV care
4.) Scrub the hub for at least 15 seconds and let dry 30
seconds
5.) Strict asepsis regarding any hubs, ports, or infusion
lines is crucial to decrease risk of infection
Chain of Infection
References
 Ackley, B. J. & Ladwig, G. B. (2011). Nursing Diagnosis Handbook, 9th




edition. St Louis:
Mosby Elsevier.
Benner, K. & Lucas, A. J. (2012). ASHP therapeutic position statement
on the institutional use of 0.9% sodium chloride injection to maintain
patency of peripheral indwelling intermittent infusion devices. AmJ
Health-Sys Pharm, 69, 1252-1254.
Lavery, I. (2010). Infection control in IV therapy: a review of the chain
of infection. British
Journal of Nursing, 19, 6-14.
O’Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland,
J., Heard, S. O… Saint, S. (2011). Guidelines of the Prevention of
Intravascular Cather-Related Infections.
Retrieved from
http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf.
Perry, A. G. & Potter, P. A. (2009). Fundamentals of Nursing, 7th edition. St.
Louis: Mosby Elsevier.