Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey |
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| Authors: | D August AJ Ullman CM Rickard K New |
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| Institution: | 1. James Cook University, Townsville, Australia;2. Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland and School of Nursing and Midwifery, Griffith University, Brisbane, Australia;3. School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia |
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| Abstract: | Peripheral intravenous catheters (PIVCs) are important tools for the provision of treatment for unwell and premature neonates. This study aimed to explore current PIVC practices (i.e. insertion, product selection, complications and management priorities) within Australian and New Zealand neonatal units, to identify areas for innovation and practice change. The survey was distributed via Australian and New Zealand neonatal nursing associations, with 180 respondents (54% Australia; 46% New Zealand). Respondents reported an average of 2–3 insertion attempts were required per PIVC, with variability in cleansing agents, decontamination techniques, skin barrier films and PIVC dressing products used. The large majority of respondents reported seeing skin complications associated with PIVCs within their practice (94%). Infection prevention was the highest management priority, and skin complication prevention, the lowest priority. High quality research is necessary to inform neonatal PIVC insertion and management practices, to improve patient safety and treatment provision. |
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| Keywords: | Corresponding author Brisbane QLD 4006 Australia Infusion therapy Intravenous Peripheral Infection prevention Skin injury Nursing practice Neonates PIVC peripheral intravenous catheter CVC central venous catheter ACNN Australian College of Neonatal Nurses NNCA the Neonatal Nurses College Aotearoa CHG chlorhexidine gluconate |
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