Peripheral IV Line Care & Practices

                                                                                         Baby Lakshmi ¹, Thilagavathy Vasudevan ²

                                                                   Mehta Multispeciality Hospitals India Pvt Ltd,Chennai, Tamil Nadu , India

Introduction

First, do no harm” is the ethical imperative for every patient safety effort. Peripheral Intravenous care is a common procedure Performed by Nurses in every Hospital and is closely associated with the Risk of Nosocomial Infections if standard care is not provided.Safe IV is the ultimate priority of Health care Personnel to Render Quality and Competent care. Nurses who play a vital role should have sound Knowledge of Safe IV practices and demonstrate Competent skills. This study aims to bring out successful outcomes by ensuring patient safety.

Methodoloy

Descriptive Study Design was used for the study. All Nurses working in wards and ICUs were the study population with the setting of wards and ICU s. Random sampling technique was used and the sample size was 63 during  Audit I and 100 During Audit II .The Validated Data Collection Tool has 3 sections.Sec-A Observational Checklist with 11 criteria, Sec-B assessing Knowledge on Peripheral IV Line Policies, Sec-C assessing Knowledge on Techniques in Preventing  Peripheral Line Infection With the score Interpretation as Adequate - 85-100 %, Moderately adequate -60-84 %,Inadequate <=50%. After Audit I, Implemented Best Practices and Post Implementation audit done during 2022

Results

The Average Percentage of Nurses Bed side Practice on safe IV had improced from 83 to 88.8% , Knowldge of Nurses on Peripheral IV line policy had slightly decreased  from 91% to 89.8% due to Nurses Turn - over,  whereas the Knowledge of Nurses on Peripheral IV line Infection Prevention strategies had improved from 51 % to 87.8%.

Best Practices Introduced were

1.Hands-on Training session on safe IV practices using Mannequins

2.Strict Adherence to Evidenced Based Best Practices -Closed IV system, Transparent IV dressings and others  right from IV Insertion till Removal

3.Formation of Infusion Nurses Team – For Extended Coverage and Follow up 

4.Clinical Supervision by Nurse Leaders for early detection & Management of IV complications

5.Video Teaching on “How to Spike, Prime, and Handle the IV Tubing's “   ( created our Own video as per Recommended Guidelines . Been shared to our      Nurses regularly –https://youtu.be/9SxAILt40ro)