Catheter Complications
Conditions
Brief summary
Purpose of this study is to see if a Peripheral Intravenous Catheter PIVC will last longer if inserted by a Registered Nurse (RN) who specializes in inserting PIVCs. Main question it aims to answer: 1\. We believe that the use of the ultrasound, an RN who specializes in PIVC placement with the use of ultrasound and the use of best of class medical technology, may improve first stick success with PIVC insertion and the length of time the PIVC stays in place without showing any related complications
Detailed description
After being informed about the study and potential risks, all patients giving written informed consent, patients will be randomized using Research Randomizer. At that time, the IV Therapist will insert a PIVC using standard of care medical equipment (control) or use ultrasound guidance, if needed, to insert a PIVC using the bundle with the best of class medical devices. Daily, a research RN will round, assess the site and take a picture. When therapy is complete or the PIVC malfunctions, the research RN will document the reason why the PIVC failed and that patient will no longer remain in the study.
Interventions
DEVICEBundled
An peripheral intravenous catheter will be inserted by an RN specially trained in PIVC placement, with or without ultrasound. Using best of class medical products, will evaluate dwell time and complications of the PIVC inserted using a bundled approach versus one inserted with the bundle
Sponsors
Vygon GmbH & Co. KG
Hartford Hospital
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Randomized controlled trial evaluating a peripheral intravenous catheter (PIVC) inserting using a bundled approach. Will evaluate the for extended dwell time and less complications compared to a PIVC using a non-bundled approach
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older with not upper limit * requires an IV for fluid and or medication administration * able to read and write English and willing to complete written, informed consent
Exclusion criteria
* Unable to speak and read English * Vulnerable populations such as minors (under age of 18) * Incompetent or mentally challenged * Prisoners * Pregnant women or the unborn * presented in the hospital prior to study start date
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1 PIVC Per Patient Stay | 1 year | To compare the proportion of patients for whom the initial catheter insertion is sufficient for their duration of care across the two groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dwell Time | 1 year | To compare dwell times between the 2 groups. Dwell time is defined as the time from line insertion to line removal. |
| Cost Impact | 1 year | To compare cost with additional PIVC's inserted if PIVC failed to make it until the end of therapy |
| Outcome Analysis | 1 year | To compare IV related complications between the 2 groups (infiltrations, occlusions, phlebitis) |
Contacts
Primary ContactLee J Steere, ADN
Outcome results
None listed