Available Now:

Improving the Quality and Patient Safety of Peripheral Intravenous Catheter (PIVC) Insertions Using Evidence-Based Data

This webinar explains how to use the evidence to ensure better patient outcomes when inserting peripheral intravenous catheters, through a case-study approach.

Meet the Presenter:  Lee Steere, RN, CRNI, VA-BC, has worked as a registered nurse for 23 years and has worked as the unit leader for IV therapy services at Hartford Hospital for the last 15 years.  He has been a member of his healthcare institution's HAI committee since 2007, and also serves as co-chair of the hospital’s clinical quality value analysis committee. He has addressed the topics of LEAN IV therapy, CLABSI prevention, and CVAD occlusion management at local and national meetings of INS and AVA, as well as published papers on vascular access-related imperatives in medical journals.

Learning objectives:

1. Review how to achieve IV success through a lean process to improve patient satisfaction.

2. Discuss data collection to support a cultural change in the way IVs are approached.

3. Define a business case relating to the importance of improving IV therapy.

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Available Now:

Patient Safety and Ultrasound-Guided Peripheral IV Placement: The Need for Standardized Practices

Point-of-care ultrasound scanners are changing healthcare delivery in many specialties. Now in use in a wide variety of clinical environments, advanced ultrasound devices are being applied to guide many interventional procedures—including the placement of peripheral vascular access devices received by more than 70% of hospitalized patients. Within all hospital departments, however, clinical practice and the application of safety measures for the use of such ultrasound technologies have struggled to keep up. Slow adoption of guidelines and the publication of conflicting recommendations from a number of professional associations have allowed wide variations in clinical practice and differing approaches to protecting end-users and their patients. This webcast will examine how lack of standardization and consequent variations in clinical practice can impact the safety profile of institutions using ultrasound-guided protocols, and how performance improvement initiatives with standardized policies, processes, procedures, and education can help to create a culture of safety across the healthcare continuum.

 

Meet the Presenter: Nancy Moureau, RN, PhD, CRNI, CPUI, VA-BC, is an internationally recognized speaker and expert in the field of vascular access practice. A nurse for more than 30 years, Moureau is also the owner and CEO of PICC Excellence, a consulting firm dedicated to providing training and competency assessment for invasive procedures. PICC Excellence has established the only PICC certification process, Certified PICC Ultrasound Inserter, where those who meet qualifications gain and maintain the credentials of an expert CPUI.

 

This webinar will address the following imperatives:

Section 1: Application of Guidelines for UGPIV Placement

• ECRI reports have raised concerns about clinical applications of point-of-care ultrasound, including lack of use when warranted, misdiagnoses, inappropriate use of the modality, and overreliance on the technology.
• Patient safety can be jeopardized when ultrasound use protocols do not address key policies and procedures, including user training and credentialing, disinfection, exam documentation, and data archiving.
• Achieving a culture of safety requires standardizing policies, processes, procedures, and education.
• AIUM practice guideline (2013).
• AVA ultrasound guidance position paper (2018).
• AVA visualization technologies position paper (2019).
• AVA ANTT guidance document (2019).
• HICPAC guideline on disinfection and sterilization (rev. 2019).
• ACEP guidance on ultrasound cleaning (2020).

Section 2: Survey Reveals Variations in UGPIV Practices

• UGPIV survey background; covers both practices and use of supplies
• Use of transducer/probe covers and types currently used with pros and cons
• Inconsistent use of single-use gel packs
• Inadequate gel removal and sequelae
• Aseptic technique often compromised by variations in practice
• Standardization of transducer/probe protection and gel usage across acute care departments is needed to ensure patient safety with this UGPIV procedure

Section 3: A Multidisciplinary Approach to Patient Safety

• The use of ultrasound for diagnostic and intervention purposes continues to be one of the fastest growing areas of patient care and presents unique challenges that require an interprofessional approach to ensure patient safety.
• This growth requires constant review of standards, research, and governmental regulation that presents a unique challenge to the establishment of best practices in the absence of strong evidence.
• Survey results confirm that variations in UGPIV practices affect a number of areas, including the handling of contamination sources, ultrasound probe protection, and gel use and cleanup.
• AVA and other professional associations representing vascular access clinicians and infection preventionists are grappling with many of these issues.
• A multidisciplinary approach is needed to ensure alignment with current standards, research, accreditation requirements, and regulations while at the same time identifying barriers to implementation and suggestions for pragmatic and incremental improvements.
• Establishing specialist teams, experienced in ultrasound usage, can result in higher levels of success with optimal outcomes for patients.
• Facilities should assess their existing ultrasound use and practices, with emphasis on ultrasound disinfection practices, use of sterile probe covers and sterile gel, and other core infection control recommendations.

Underwritten by:

 

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