None listed
Conditions
Brief summary
The rate of peripheral intravenous catheter failure at the RBWH is high (around 40%). When a catheter fails, before treatment has been completed, a new catheter is generally required, causing discomfort to the patient and considerable cost to the organisation. There are a number of reasons for catheter failure, some of which may be preventable with appropriate intervention. At present we do not have a clear idea of the causes of catheter failure at the RBWH. The proposed study will follow a cohort of patients from admission to discharge and closely monitor any IV access events associated with their stay. Patients with catheter failure will be compared to a group who do not have catheter failure, to identify opportunities for intervention.
Interventions
Patients with a peripheral intravenous catheter admitted to medical, surgical and maternity services, within the preceding 24 hour period will be identified prospectively. Consenting patients will have demographic data collected: e.g. admitting diagnosis, co-morbidities, skin and vein condition, cannula insertion details. Participants will be reviewed by a research nurse second daily and other risk factors collected: e.g. antibiotic type and dosage, flushing regime, continuous or intermittent intravenous fluid administration, dressing and other securement types of both catheter and tubing, presence of extension tubing or 3-way taps, catheter type and size, patient factors such as mobility status, presence of delirium. Participants will be monitored until discharge from hospital or until they have a central venous access device inserted.
Sponsors
Eligibility
Inclusion criteria
1. Patients requiring peripheral intravenous catheters and able to provide informed consent 2. Catheter inserted within 24 hours of recruitment
Exclusion criteria
1. Patients admitted for palliative treatment or who are on a care of the dying pathway 2. Patients who are under the age of 18 years