Patients With Prolonged Intravenous Therapy
Conditions
Keywords
Nursing Services, Catheterization, Central Venous, Catheters Indwelling, Catheterization, Peripheral
Brief summary
The purpose of this study is to determine whether an infusion therapy nursing expert service is effective in decreasing hospital length of stay, improving the clinical results of venous access devices and increasing patient satisfaction with venous access.
Interventions
The ITNE will assess the patient and treatment characteristics and use an evidence based decision making algorithm for the selection of the most suitable VAD. If the VAD needed is a PICC or a midline ITNE will place it following hospital's protocols. If needed, ITNE will also educate and support patients and next of keens in the maintenance of the device at home. If other devices such as peripheral catheters, central venous catheters (jugular or subclavian) or venous subcutaneous reservoirs are the preferable VADs for patients and treatment conditions, ITNE will work together with health professionals in charge of patients to activate the usual procedures to place the according device.
Sponsors
Study design
Eligibility
Inclusion criteria
* Require an estimated long prescription of intravenous treatment. These treatments may be of fluid therapy, pharmacological, nutritional or hemotherapy. * Estimation of 7 days or more of continuous intravenous therapy. * Estimation of an intermittent intravenous therapy of less than a week, but on a monthly basis or less and a total estimated duration superior to 3 months. * Be patient at Araba University Hospital
Exclusion criteria
* To have a central venous catheter indwelled * MRSA (Methicillin Resistant Staphylococcus Aureus) * Younger than 18 years old
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospital Length of Stay | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Venous Access Devices reaching end of treatment | 3 months |
| Incidence of complications derived from VAD | 3 months |
| Patients receiving intravenous therapy at home | 3 months |
| Patient satisfaction with VAD | 3 months |
Countries
Spain