Abstract

Hospitalized patients receiving medications intravenously are at increased risk for developing hospital associated infections (HAIs), including MRSA if their peripheral intravenous catheters are not maintained appropriately. These HAIs pose a financial burden to both patients and institutions and increased morbidity and mortality for the patient. A bundled set of evidence-based interventions was implemented on three acute care units as part of a quality improvement project. The aim of the project was to ensure proper care and maintenance of intravenous catheter devices. Interventions included a) consistent use of a phlebitis infiltration scale; b) maintaining a clean, dry, and intact dressing with a securement device; and c) using a disinfecting cap on all catheter hubs and tubing. Nursing staff were educated using huddles, purposeful rounding, posters, videos, and reminder cards. Compliance with the bundled elements was measured using an audit tool during weekly point prevalence rounds. Post implementation data showed a 65% reduction in MRSA incidence rates. The compliance scores for all elements increased, on average, by 58% from 34.5% to 92.5%. The results suggest that the implementation of a bundled approach to the care and maintenance of PIVCs is clinically effective at reducing the incidence of MRSA bacteremia.

Dawn A. Smith

Author Details

Dawn A. Smith, MSN, RN, CIC, CPHQ, NEA-BC - Director of Clinical Quality and Patient Safety, Baptist Medical Center Jacksonville Fl

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Pilot/Exploratory Study

Keywords:

Peripheral Intravenous Catheters, PIVC, PIVC Site Care and Maintenance, PIVC Complications

Advisors

Christopher, Roberta

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2020-01-09

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