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Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society

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https://www.readbyqxmd.com/read/29293200/difficulties-related-to-peripheral-intravenous-access-in-children-in-an-emergency-room
#1
Claudia Maria de Freitas Floriano, Ariane Ferreira Machado Avelar, Maria Angélica Sorgini Peterlini
This prospective study examined the characteristics of children admitted to a pediatric emergency department and the factors that influenced the successful establishment of peripheral intravenous (IV) access. Descriptive and correlational analysis was completed using a convenience sample of 89 patients. Peripheral IV access was successful in 95.7% of the children, and the first attempt at insertion was successful in 53% of the procedures. Factors influencing the success of peripheral IV access were the patient's gender, skin color, presence of difficult-to-see veins, small veins, presence of fever, and a lack of palpable veins...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293199/strategies-to-reduce-patient-harm-from-infusion-associated-medication-errors-a-scoping-review
#2
Zane Robinson Wolf
A scoping review of the literature examined strategies to prevent infusion-associated medication errors. Twenty articles were appraised and revealed studies using different research designs and types of literature reviews. Most were rated low quality. Observations in clinical agencies and laboratory settings were sites of some investigations. The work environment-including staffing, health care providers' education and supervision, standardizing equipment, protocols that supported medication decision-making and administration processes, medication lists, computerized devices, and cognitive aids-were addressed as strategies...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293198/catheter-occlusion-in-home-infusion-the-influence-of-needleless-connector-design-on-central-catheter-occlusion
#3
Ann Williams
Thrombotic catheter occlusion is a common complication associated with central venous catheters (CVCs). A wide variety of needleless connectors that differ greatly in design and function are available for use with CVCs; however, there are a limited number of studies comparing the catheter occlusion rate associated with differently designed needleless connectors. This retrospective observational study compared occlusion rates associated with a split-septum neutral-displacement needleless connector versus those of a solid-surface neutral-reflux needleless connector in patients undergoing home infusion therapy...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293197/is-this-a-blood-transfusion-reaction-don-t-hesitate-check-it-out
#4
Julie DeLisle
Blood transfusions can be lifesaving. The majority are completed without incident. However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event. These reactions can be acute, occurring during or soon after transfusion, or delayed, occurring days to weeks later. Nurses need to be able to recognize and respond to these reactions appropriately.
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293196/enteral-nutrients-and-gastrointestinal-physiology
#5
Jennifer L Barnes
The gastrointestinal (GI) tract is a highly efficient organ system with specialized structures to facilitate digestion and absorption of nutrients to meet the body's needs. The presence of nutrients in the GI tract supports optimal structure and function, stimulates regulatory hormones, and supports the microbiota, the population of microorganisms residing in the GI tract. A lack of enteral nutrition (EN) results in impaired GI integrity and serious patient complications, making EN a priority. Normal GI physiology is reviewed, and the regulatory impact of luminal nutrients on GI function is discussed...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293195/stopcocks-for-infusion-therapy-evidence-and-experience
#6
Lynn Hadaway
Stopcocks have been used for decades to deliver infusion therapy in patients of all ages and in all health care settings. During the past 20 years, a growing number of studies have validated concern about the risk of the open lumen allowing intraluminal contamination. Additional studies highlight fluid flow dynamics associated with stopcocks. This integrative literature review and clinician practice survey analyzes the published evidence and reports of actual practices with stopcocks, and raises issues about practice changes that could reduce these risks...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293194/usp-800-and-strategies-to-promote-hazardous-drug-safety
#7
Seth Eisenberg
The term hazardous drug (HD) includes medications that have any of the following properties: carcinogenicity, teratogenicity, reproductive toxicities, genotoxicities, toxicities at low doses, and a structure that mimics other drugs meeting the criteria. Numerous studies continue to demonstrate widespread environmental contamination and human uptake of these agents. Safe handling guidelines have existed for more than 30 years but have not been routinely implemented. USP General Chapter 800 (USP <800>) represents a new enforceable standard for HD safety...
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29293193/45-and-going-strong
#8
Mary Alexander
No abstract text is available yet for this article.
January 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112587/incidence-of-infusion-site-reactions-in-peripheral-fosaprepitant-infusions
#9
Sarah C Gonçalves, Solange M Sanches, Camila T Bueno, Diana L Villela de Castro, Aline Damascena, Giseli R C Santos
Fosaprepitant is administered intravenously to treat chemotherapy-induced nausea and vomiting. To verify the incidence of infusion site reactions and the relationship among risk factors, a quantitative retrospective cohort study was undertaken. The study included patients seen between October 2013 and February 2014. Fifty-seven patients were included in the study, and there were 105 infusions among them. Infusion site reactions were identified in 42 (40%) cases. Risk factors identified by the study included age (P < ...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112586/the-role-of-immunoglobulin-in-the-treatment-of-immune-mediated-peripheral-neuropathies
#10
Alejandro Tobon
Immune-mediated neuropathies are a group of peripheral nerve disorders characterized by motor or sensory deficits caused by inflammation leading to demyelination or axonal injury. Intravenous immunoglobulin (IVIg) has been demonstrated to be an effective therapy for the 3 most common immune-mediated neuropathies: Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, and multifocal motor neuropathy. This review summarizes current data on the rationale for the use of IVIg in immune-mediated neuropathies, addressing mechanism of action, clinical evidence, and practical considerations for its use...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112585/evaluation-of-the-predictive-validity-of-thermography-in-identifying-extravasation-with-intravenous-chemotherapy-infusions
#11
Yuko Matsui, Ryoko Murayama, Hidenori Tanabe, Makoto Oe, Yoshiharu Motoo, Takanori Wagatsuma, Michiko Michibuchi, Sachiko Kinoshita, Keiko Sakai, Chizuko Konya, Junko Sugama, Hiromi Sanada
Early detection of extravasation is important, but conventional methods of detection lack objectivity and reliability. This study evaluated the predictive validity of thermography for identifying extravasation during intravenous antineoplastic therapy. Of 257 patients who received chemotherapy through peripheral veins, extravasation was identified in 26. Thermography was performed every 15 to 30 minutes during the infusions. Sensitivity, specificity, positive predictive value, and negative predictive value using thermography were 84...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112584/rheumatoid-arthritis-pathophysiology-and-safe-administration-of-biologics
#12
Elizabeth Kirchner
Approximately 1 in 5 people in the United States suffers from autoimmune diseases. To explain the pathophysiology of autoimmune disease, a basic understanding of the normal and dysfunctional immune system is necessary. Rheumatoid arthritis is used as a model to explain the basics of autoimmune disease. The infusion nurse plays a key role in patient education and the safe administration of biologics.
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112583/improving-quality-of-chest-radiographs-after-placement-of-peripherally-inserted-central-catheters
#13
Jill Jones, Lucas Meek, Shaun Best, Amy McCann, Brandon Welsh, Jacqueline Hill, Ryan Ash
The goal of this study was to determine the best method for localizing peripherally inserted central catheters (PICCs) in postplacement portable chest radiographs. A retrospective analysis showed no significant difference in visualization of the PICC tip between different chest radiograph projections. Modifications were made to an institutional PICC protocol to obtain anteroposterior chest views with the guidewire present only. Repeat analysis demonstrated statistically significant increases in the frequency of anteroposterior radiographs performed, the number of chest radiographs with guidewire, and the localization of the catheter...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112582/a-review-of-best-practices-for-intravenous-push-medication-administration
#14
Janelle R Lenz, Daniel D Degnan, John B Hertig, James G Stevenson
In 2015, the Institute for Safe Medication Practices (ISMP) released safe practice guidelines for adult intravenous (IV) push medications. ISMP's most recent set of guidelines has added to a growing list of recommendations from professional groups on the safe use of IV medications. These recommendations and guidelines vary with regard to their audience, scope, and terminology. In some ways, these variations may contribute to confusion and delayed adoption of the standards. This report attempts to provide clarity about the rationale and background regarding the need for practice improvement, discussion of various guidelines, and practice mitigation strategies to improve patient safety...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112581/instituting-vincristine-minibag-administration-an-innovative-strategy-using-simulation-to-enhance-chemotherapy-safety
#15
Nancy Corbitt, Lisa Malick, Jennifer Nishioka, Ann Rigdon, Stephanie Szoch, Peggy Torr
The first fatal incident of wrong-route administration of vinca alkaloids occurred in 1968. Initial recommendations for practice change occurred in 2005. In 2012, 54% of oncology treatment sites had changed their practice. The authors' institution has developed a safe, adaptable, and consistent process to prepare, deliver, and administer vinca alkaloids by means of a minibag delivery. A multidisciplinary team, including representatives from the nursing and pharmacy departments, reviewed the literature and developed all processes, including staff education...
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112580/the-role-of-the-registered-nurse-in-the-insertion-of-nontunneled-central-vascular-access-devices
#16
Ann Plohal, Cheryl Dumont, Cathy Perry, Velda Biddix, Diedre B Bird, Teresa Darst, Candee J Eisenhart, Melanie Pugh
As the result of requests from several state boards of nursing, the Infusion Nurses Society (INS) convened a task force to determine whether insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in INS' newest position paper, adopted by the INS Board of Directors, September 2017.
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112579/the-truth-is-patients-are-safer-today-than-20-years-ago
#17
Michael R Cohen
No abstract text is available yet for this article.
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29112578/a-dedicated-partnership-in-safe-medication-practices
#18
Mary Alexander
No abstract text is available yet for this article.
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/28885994/continuing-education-for-nursing-contact-hours-and-crni%C3%A2-recertification-units
#19
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/28885480/is-thrombus-with-subcutaneous-edema-detected-by-ultrasonography-related-to-short-peripheral-catheter-failure-a-prospective-observational-study
#20
Toshiaki Takahashi, Ryoko Murayama, Makoto Oe, Gojiro Nakagami, Hidenori Tanabe, Koichi Yabunaka, Rika Arai, Chieko Komiyama, Miho Uchida, Hiromi Sanada
Short peripheral catheter (SPC) failure is an important clinical problem. The purpose of this study was to clarify the relationship between SPC failure and etiologies such as thrombus, subcutaneous edema, and catheter dislodgment using ultrasonography and to explore the risk factors associated with the etiologies. Two hundred catheters that were in use for infusion, excluding chemotherapy, were observed. Risk factors were examined by logistic regression analysis. Sixty catheters were removed as the result of SPC failure...
September 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
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