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Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
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Otranto Road Library
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Mt. Pleasant Library
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McClellanville Library
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John's Island Library
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Hurd/St. Andrews Library
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Phone: (843) 805-6930
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Use of an Evidence-Based Protocol for Repositioning Peripherally Inserted Central Catheters (PICCs) in Children and Adults.
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- Author(s): Mesa, Jorge; Mejia, Amalyn; Tiu, Gareth
- Source:
Journal of the Association for Vascular Access; Spring2021, Vol. 26 Issue 1, p6-14, 9p- Subject Terms:
MEDICAL equipment reliability; IRRIGATION (Medicine); PILOT projects; ACADEMIC medical centers; ACQUISITION of data methodology; CHEST X rays; PERIPHERALLY inserted central catheters; EVIDENCE-based medicine; CONTINUING education units; COST control; RETROSPECTIVE studies; MEDICAL protocols; TREATMENT delay (Medicine); MEDICAL records; MEDICAL instrument maintenance; CATHETERIZATION; VASCULAR catheters; PATIENT safety; CHILDREN; ADULTS; ADOLESCENCE - Source:
- Additional Information
- Subject Terms:
- Abstract: Introduction: Achieving and maintaining optimal peripherally inserted central catheter (PICC) tip position can be challenging. At any time during therapies, the final catheter position can be altered due to changes in patient condition and intrathoracic pressure. Aim: To determine if the use of a standardized protocol with power flush option for repositioning the PICC tips will reduce the number of withdrawal interventions or exchange procedures. Methods: Johns Hopkins evidence-based practice (EBP) methodology was used to evaluate literature published in the past 5 years. A standardized protocol was developed and implemented in patients with malpositioned PICCs. The outcome measures were the successful repositioning of the catheter and costs for the procedure. Results: In 4 months, 43 (93%) of 46 (14 adult/32 pediatric) catheters were successfully repositioned. The withdrawal method was used to reposition 34 (73.9%). In 12 patients where a power flush was used, 9 (75%) were successfully repositioned. These changes resulted in decreased delays in treatment and financial savings of $235,210 in personnel time and supplies. Discussion: The standardized protocol provided an alternative to previous practices, extending dwell time, decreasing treatment delay, and unnecessary procedures, showing significant savings for the institution. Conclusions: The Vascular Access Team use of an evidence-based protocol was successful in reducing catheter exchange and withdrawals in malpositioned catheters among adult and pediatric populations. Relevance to Clinical Practice: The implementation of a standardized EBP to address malpositioned catheters resulted in the decreased need for catheter exchange, reduced delays in treatment, and cost savings. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of the Association for Vascular Access is the property of Association for Vascular Access and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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