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Idle PIVCs a thing of the past at QEII

18 June 2021

While the I-DECIDED lanyard card is a familiar tool that comes part and parcel with delivery of care, the assessment and decision tool has made some beneficial changes to business as usual for patients at QEII Hospital.

Former ICU nurse and conjoint Senior Research Fellow with Griffith University, Dr Gillian Ray-Barruel, noted the regular need for peripheral intravenous catheters (PIVC) for hospital patients and wondered whether improved assessment and early detection could prevent some of the known complications.

The I-DECIDED tool was developed to address the high prevalence of idle PIVCs and common shortfalls with assessment and documentation.

“Up to 70 percent of acute care hospital patients need a PIVC during admission, however as many as two-thirds of these devices have painful complications or stop working before treatment is finished, requiring the insertion of a new device.

“Equally concerning, clinical audits reveal 25-50 percent of PIVCs remain in situ for no reason, posing a bloodstream infection risk.

“Preliminary results of the I-DECIDED device assessment and decision tool trial in a hospital setting has shown the tool can reduce the rate of idle PIVCs and improve early detection of complications,” said Gillian.

It is the first comprehensive, evidence-based point-of-care tool for PIVC assessment and decision making.

“We conducted an interrupted time-series study with 16 time-points over 11 months in seven medical/surgical wards at three Brisbane hospitals.

“A vascular device assessment form was implemented at the four-month mark, with education sessions including lanyard cards and posters provided for 200 nursing staff.

“At the conclusion of the trial, redundant cannula rates had reduced by 9 percent and nurses in every focus group reported increased awareness of the need to remove PIVCs no longer in use.”

Use of the I-DECIDED assessment and decision tool for all invasive devices is now considered accepted best practice at QEII Hospital.

The full results of the study are soon to be published.

To learn more about I-DECIDED, follow this link: https://www.avatargroup.org.au/i-decided.html

Last updated 18 June 2021
Last reviewed 18 June 2021

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