Impact of the reduction in catheter time on phlebitis
Section: Healthcare Management
How to quote
Mata Peón E, Fernández García C, Rodríguez Martínez L, Avanzas Fernández S. Impacto de la reducción del tiempo de catéter en la flebitis. Metas Enferm abr 2014; 17(3): 13-18.
Authors
1Esther Mata Peón, 2Cristina Fernández García, 3Lucía Rodríguez Martínez, 3Sara Avanzas Fernández
Position
1Enfermera. Unidad de Calidad. Fundación Hospital de Jove. Gijón.2Enfermera. Unidad Psiquiatría. Fundación Hospital de Jove. Gijón.3Enfermera. Unidad Medicina Interna. Fundación Hospital de Jove. Gijón.
Contact address
Esther Mata Peón. Fundación Hospital de Jove. Avda. Eduardo Castro, s/n. 33290 Gijón.
Contact email: infeccion@hospitaldejove.com
Abstract
Objective: to understand the incidence of phlebitis in the Fundación Hospital de Jove, in Gijón, before and after implementing improvement actions (withdrawal of peripheral vein catheters (PVCs) not used during 24 hours, and review and update of nursing records).
Material and method: intervention before-and-after study. Two longitudinal cuts were conducted in October-December, 2011 (period 1, baseline), and March-May, 2012 (period 2, after two improvement actions). A total of 3,876 vein catheters were reviewed, the incidence of phlebitis associated with PVC was determined, and the associated variables were analyzed (age, gender, unit of admission, catheter gauge, site of insertion, type of infusion, unit of insertion, Maddox Index, and drugs administered).
Results: the incidence of phlebitis by peripheral vein catheters was 8.7% in the first cut, and 7.6% in the second cut; the most frequently used size was 20 G, with 64.9% and 75.2%. The anatomical site with higher incidence of phlebitis was the forearm. Those PVCs inserted in the Emergency Unit showed a higher incidence of phlebitis. The completion of nursing records was improved, from 53.56% to 64.41%.
Conclusions: an improvement has been achieved regarding the incidence of phlebitis and record completion. However, it is necessary to continue working with nurses in order to improve these data, encouraging the training of these professionals on those aspects.
Keywords:
Peripheral Vein Catheter; phlebitis; improvement actionsquality
Versión en Español
Título:
Impacto de la reducción del tiempo de catéter en la flebitis
