A dedicated team of nurses for vascular access management
A literature review
DOI:
https://doi.org/10.54103/dn/17763Keywords:
difficult vascular access, difficult venous access, nurse team, PICC teamAbstract
BACKGROUND:
Difficult vascular access occurs in 30% of patients requiring vascular access. It is a clinical condition that results in multiple attempts to cannulate the vein. It is managed by a dedicated team of nurses with advanced skills in peripheral venous access (PVA), PICC and Midline implantation using ultrasound technique.
AIM:
To perform a literature review investigating outcomes and benefits of management of these patients by a nursing team with advanced skills in vascular access.
METHODS:
The PubMed, CINAHL, EMBASE, Cochrane Library, ILISI and Web of Science databases and the official websites of the INS and GAVeCeLT were consulted.
RESULTS:
Seven studies were included. The team consisted of an average of 15 nurses and 4 medical specialists. It emerges a success rate of the procedure at the first attempt of 88-100% and a reduction of 90% and 70% of the rates of CLABSI and catheter-related infections. On average 44.1% of the devices were removed by the end of the treatment. Waiting time for a suitable device was reduced by 80%. The average satisfaction rate was 88.23% (average score recorded 8.56/10) and an average of 2.85/10 for perceived pain. Companies reported an average reduction of 261,358.27 euros/year in business expenses.
CONCLUSIONS:
A dedicated team for difficult vascular access represents a fundamental resource for the delivery of quality care through timely management, reduction of complication rates, optimization of care timing and expenses.
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Copyright (c) 2022 Ilaria Cerardi, Giorgio Gadda
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Accepted 2022-07-22
Published 2022-07-29
