Did You Know That:
Since January 1998, the Infusion Program Educators have created and maintained a workload database. Over 1850 activity episodes have been recorded over the past 11 months and preliminary analysis reveals that:
46% of activities involved Business Unit 2, 35% involved BU-3 and 3% involved BU-1. The remaining activities were hospital-wide (e.g. hosting continuing education events) or involved external groups (e.g. community nursing support);
37% of activities were related to Home IV Program patient care;
18% of activities involved management of CVC lines.
The IV Resource Nurses also maintain a workload database and record an average of 950 completed consults every 28-day period. In rank order, the top consumers of this service are CP 8th floor (22% of consults), CP 10th floor (16%) and HP B floor (13%).
Infusion Device Facts and Tips:
Each black marking on a PICC represents 10cm of catheter in situ (e.g. a "3-dot marking" means that the distal end of the PICC is 30cm into the vein from the insertion point).
Alcohol should be permitted to dry for 30 seconds before opening a CVC/IV connection to allow for a full bactericidal effect.
Chlorhexidine 0.5% in 70 % alcohol is considered to be the bactericidal solution of choice for all CVC dressings.
Implanted venous access devices (e.g. port-a-caths) must only be accessed with a Huber point needle to avoid damage to the device.
How to Streamline IV Resource Nurse Consultations:
Many of the almost 1000 monthly requests for IV Resource Nurse support are initiated by your calls to our answering machine at #63855. To improve our ability to provide you with support, here are some tips when leaving a request for assistance:
Speak clearly, keep your message brief and precise, and provide pertinent facts regarding: the purpose of the consultation, the urgency of the consultation, and whether the consultation is related to a scheduled OR procedure.
If blood products are to be administered, identify a) whether or not the patient has been crossmatched and b) the status of blood products on the ward. The patient should have a #20 or larger InsyteŽ.
Ensure the patient has been informed that they will be receiving blood products before the IV Resource Nurse arrives.
If a saline lock for parenteral medications is required, state when the related medications are due for administration.
Ensure the patient is on the ward when you request a "STAT" or "ASAP" consultation. A "STAT" request is appropriate for patients in shock, convulsing or bleeding. Expect to be contacted by the IV Resource Nurse to clarify the urgency of these requests.
Patients who are likely to be difficult IV starts (or who are very anxious) are best positioned in bed before the procedure.