Standardized Venous Access Assessment and Safe Chemotherapy Administration to Reduce Adverse Venous Events
Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was d.
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| Published in | Clinical journal of oncology nursing Vol. 27; no. 3; pp. 305 - 309 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Oncology Nursing Society
01.06.2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1092-1095 1538-067X 1538-067X |
| DOI | 10.1188/23.CJON.305-309 |
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| Abstract | Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was d. |
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| AbstractList | Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was d. Staff of the ambulatory infusion clinicata Magnetdesignated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was developed to standardize venous access assessment using the Modified Adult Difficult IV Access Scale in conjunction with competency validation for safe administration of vesicant chemotherapy agents according to practice standards. Postimplementation data revealed a 79% reduction in adverse venous events. AT A GLANCE * To preserve patient safety, nurses can follow national guidelines and best-practice recommendations for peripheral vascular assessment and vesicant administration. * Infusion centers can decrease venous events by implementing evidence-based practices for safe peripheral IV administration of chemotherapy * Using a standardized, objective assessment tool can assist with identifying patients at high risk for venous events from vesicant agents. KEYWORDS extravasation; evidence-based practice; chemotherapy; venous access [...]inquiry also revealed practice inconsistencies, knowledge gaps surrounding administration, and subjectivity in venous assessment before PIV placement. [...]a team formed to develop and implement a practice change based on recommended guidelines for vesicant administration and venous access. The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care and the Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals Research Evidence Appraisal Tool (Buckwalter et al., 2017; Dang et al., 2022) were used to guide project development and literature appraisal, as well as integration and sustainment of the practice change. Early stakeholder engagement was essential because navigators and providers would need to understand the rationale behind the practice change and its anticipated effects on nurse-provider communication and patient care delivery. [...]this quality improvement project was not considered human subjects research and not reviewed by the institutional review board. Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was d.Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was d. Staff of the ambulatory infusion clinicata Magnetdesignated academic medical center observed the rates of adverse venous events, including infiltration and extravasation. An evidence-based quality improvement project was developed to standardize venous access assessment using the Modified Adult Difficult IV Access Scale in conjunction with competency validation for safe administration of vesicant chemotherapy agents according to practice standards. Postimplementation data revealed a 79% reduction in adverse venous events. |
| Audience | Professional |
| Author | Arangoa Miller, Melissa Frazier-Warmack, Victoria Castelo, Kathrene |
| Author_xml | – sequence: 1 givenname: Melissa surname: Arangoa Miller fullname: Arangoa Miller, Melissa organization: University of Chicago Medicine – sequence: 2 givenname: Victoria surname: Frazier-Warmack fullname: Frazier-Warmack, Victoria organization: University of Chicago Medicine – sequence: 3 givenname: Kathrene surname: Castelo fullname: Castelo, Kathrene organization: University of Chicago Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37267497$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2023 Oncology Nursing Society Copyright Oncology Nursing Society Jun 2023 |
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| Snippet | Staff of the ambulatory infusion clinic at a Magnet-designated academic medical center observed the rates of adverse venous events, including infiltration and... Staff of the ambulatory infusion clinicata Magnetdesignated academic medical center observed the rates of adverse venous events, including infiltration and... [...]inquiry also revealed practice inconsistencies, knowledge gaps surrounding administration, and subjectivity in venous assessment before PIV placement.... |
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| SubjectTerms | Cancer Cancer patients Care and treatment Catheters Chemotherapy Documentation Dosage and administration Education Electronic health records Evidence-based nursing Evidence-based practice Immunotherapy Infusion therapy Leadership Nurses Oncology Patient safety Quality improvement Quality standards Safety and security measures Venous access |
| Title | Standardized Venous Access Assessment and Safe Chemotherapy Administration to Reduce Adverse Venous Events |
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