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https://www.readbyqxmd.com/read/28812473/implementation-of-a-pathway-for-the-treatment-of-fever-and-neutropenia-in-pediatric-patients-with-cancer
#1
Joy Vanderway, Catherine Vincent, Susan M Walsh, Jennifer Obrecht
Fever and neutropenia is an oncologic emergency. Time-to-antibiotics (TTA) refers to the amount of time from initial provider evaluation for fever and neutropenia to intravenous antibiotic administration. Research supports that rapid time-to-antibiotics (RTTA) is associated with improved patient outcomes. This quality improvement project evaluated the success of implementing an RTTA pathway in pediatric oncology patients with fever and neutropenia. The setting was an advanced practice nurse-managed pediatric ambulatory infusion center where patients with fever and neutropenia were often evaluated and treated...
September 2017: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
https://www.readbyqxmd.com/read/28802868/development-and-implementation-of-an-ultrasound-guided-peripheral-intravenous-catheter-program-for-emergency-nurses
#2
Courtney Edwards, Jodi Jones
PROBLEM: Emergency medical care often necessitates placement of peripheral intravenous (PIV) catheters. When traditional methods for obtaining PIV access are not successful, ultrasound guidance is a rescue technique for peripheral vascular placement that improves the quality of patient care. METHODS: The aim of this training program was to develop a process where emergency nurses would be competent to perform ultrasound guided PIV to improve the quality of patient care delivered while reducing throughput time...
August 9, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28800617/improved-usability-of-a-multi-infusion-setup-using-a-centralized-control-interface-a-task-based-usability-test
#3
Frank Doesburg, Fokie Cnossen, Willem Dieperink, Wouter Bult, Anne Marie de Smet, Daan J Touw, Maarten W Nijsten
The objective of this study was to assess the usability benefits of adding a bedside central control interface that controls all intravenous (IV) infusion pumps compared to the conventional individual control of multiple infusion pumps. Eighteen dedicated ICU nurses volunteered in a between-subjects task-based usability test. A newly developed central control interface was compared to conventional control of multiple infusion pumps in a simulated ICU setting. Task execution time, clicks, errors and questionnaire responses were evaluated...
2017: PloS One
https://www.readbyqxmd.com/read/28799984/lidocaine-spray-as-a-local-analgesic-for-intravenous-cannulation-a-randomized-clinical-trial
#4
Joris Datema, Jeroen Veldhuis, Jolita Bekhof
OBJECTIVES: Lidocaine spray is an effective analgesic of mucous membranes. Lidocaine spray is also used during intravenous (i.v.) cannulation, especially in children. However, the analgesic effect of lidocaine spray during i.v. cannulation has not been studied. We aimed to assess the analgesic effectiveness of lidocaine spray during i.v. cannulation. METHODS: We conducted a randomized, double-blinded, placebo-controlled trial in seventeen healthy adults who received an i...
August 10, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/28790256/-safe-handling-of-hazardous-drugs-in-nursing-practice
#5
Kazue Hirai
Handling of hazardous drugs in nursing practice, there are risks of a wide variety of occupational exposures such as drug administration, management of spills, care of patients after administration, etc. Using a general infusion set for intravenous administration, there are risk of exposure such as scattering when the bottle needle is spiked into the infusion bag, leakage when priming the infusion line with antineoplastic drug, spillage when removing the side tube. For intravenous administration, use of CSTD for administration is most effective, but in many facilities, a general infusion set is used due to cost considerations...
July 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28777421/a-randomized-comparison-between-an-intravenous-catheter-system-with-a-retractable-guidewire-and-conventional-intravenous-catheters
#6
Jeffrey Forris Beecham Chick, Shilpa N Reddy, James X Chen, Therese Sammarco, Jesse Chittams, Scott O Trerotola
INTRODUCTION: The aim of this study is to compare an intravenous (IV) catheter system which uses a retractable guidewire (RG-IV) designed to facilitate IV placement with a conventional IV (C-IV) catheter control. MATERIALS AND METHODS: A prospective, randomized design was used. Patients referred to interventional radiology for outpatient procedures were offered participation. Enrollment occurred between August and November 2013. Patients were assigned to receive the RG-IV or C-IV in a 1:1 randomization scheme...
August 2, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/28760798/protocol-for-a-randomised-crossover-trial-to-evaluate-patient-and-nurse-satisfaction-with-electronic-and-elastomeric-portable-infusion-pumps-for-the-continuous-administration-of-antibiotic-therapy-in-the-home-the-comparing-home-infusion-devices-chid-study
#7
Jodie G Hobbs, Melissa K Ryan, Brett Ritchie, Janet K Sluggett, Andrew J Sluggett, Lucy Ralton, Karen J Reynolds
INTRODUCTION: Previous studies comparing satisfaction with electronic and elastomeric infusion pumps are limited, and improvements in size and usability of electronic pumps have since occurred. The Comparing Home Infusion Devices (CHID) study plans to assess patient and nurse satisfaction with an elastomeric and electronic pump for delivering intravenous antibiotic treatment in the home. Secondary objectives are to determine pump-related complications and actual antibiotic dose administered, evaluate temperature variation and compare pump operating costs...
July 31, 2017: BMJ Open
https://www.readbyqxmd.com/read/28754743/ten-minute-chat
#8
(no author information available yet)
Aimee Paterson-Young from White Cross Vets understands that learning to place an intravenous catheter on a live animal can be stressful for student veterinary nurses, so she makes fake legs for them to practise on.
July 29, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28745783/modified-fixation-of-indwelling-intravenous-catheter-in-management-of-exudate
#9
X-W Zhang, W Huang, H-Y Wei
OBJECTIVE: To analyze the clinical efficacy of modified fixation of the indwelling intravenous catheter in the management of exudate. PATIENTS AND METHODS: From January 2015 to January 2016, 110 patients who underwent surgery and management of exudate were enrolled in this study. They were divided into two groups using a random number table with 55 patients in each group. Routine intravenous catheter fixation was used in the treatment group and modified intravenous catheter fixation was used in the control group...
July 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28745155/single-dose-intravenous-paracetamol-or-intravenous-propacetamol-for-postoperative-pain
#10
Amanda Stott
statement The mission of the Cochrane Nursing Care Field (CNCF) is to improve health outcomes through increasing the use of the Cochrane Library and supporting Cochrane's role by providing an evidence base for nurses and healthcare professionals who deliver, lead or research nursing care. The CNCF produces Cochrane Corner columns, summaries of recent nursing-care-relevant Cochrane Reviews that are regularly published in collaborating nursing-related journals. Information on the processes CNCF has developed can be accessed at: cncf...
July 26, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28739065/meta-analysis-of-the-ease-of-care-from-the-nurses-perspective-comparing-fentanyl-iontophoretic-transdermal-system-its-vs-morphine-intravenous-patient-controlled-analgesia-iv-pca-in-postoperative-pain-management
#11
Cecile R Pestano, Pam Lindley, Li Ding, Hassan Danesi, James B Jones
PURPOSE: The aim of this meta-analysis was to compare the ease of care (EOC) of fentanyl iontophoretic transdermal system (ITS) vs the morphine intravenous patient-controlled analgesia (IV PCA) as assessed by the nurse. DESIGN: Meta-analysis of three phase 3B randomized active-comparator trials. METHODS: This meta-analysis according to Cochrane's approach assessed EOC using a validated nurse questionnaire (22 items grouped into three subscales, which include time efficiency, convenience, and satisfaction) in adult patients treated with fentanyl ITS or morphine IV PCA for postoperative pain management...
August 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28730132/investigation-of-efficacy-of-lidocaine-spray-for-sedated-esophagogastroduodenoscopy-in-children
#12
Ahmet Basturk, Reha Artan, Aygen Yılmaz
PURPOSE: Our aim in this study is to investigate efficacy of topical lidocaine spray for sedated esophagogastroduodenoscopy (EGD) in children. METHODS: The endoscopy of children aged between 3-18 years who underwent EGD in our endoscopy unit. Intravenous (IV) midazolam and ketamine were used for sedation. Prior to sedation, endoscopy nurse applied topical lidocaine 10% with pump spray at 1 mg/kg dose in group 1, and distilled water via identically scaled pump spray in group 2, in a double blinded fashion...
June 2017: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/28704328/randomized-controlled-trial-of-dexamethasone-versus-dexamethasone-plus-hydrocortisone-as-prophylaxis-for-hypersensitivity-reactions-due-to-paclitaxel-treatment-for-gynecologic-cancer
#13
Dhammapoj Jeerakornpassawat, Prapaporn Suprasert
OBJECTIVE: The aim of this study was to assess intravenous hydrocortisone (HCT) added to standard dexamethasone (DXM) prophylaxis for paclitaxel-associated hypersensitivity reactions (HSRs). METHODS: Paclitaxel naives scheduled for 6 cycles of paclitaxel (plus platinum) were randomized to DXM alone (20 mg intravenously [IV]) versus DXM plus HCT (100 mg IV) as premedication including chlorpheniramine (10 mg IV), diphenhydramine (25 mg orally), and ranitidine (50 mg IV) 30 minutes before infusion...
July 12, 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/28704084/the-impact-on-patients-of-a-nurse-led-clinical-service-in-gastroenterology
#14
Maria Tan, Shyam Menon, Doreen Black
Higher rates of chronic liver disease have resulted in a significant increase in the number of patients needing regular abdominal paracentesis for ascites. Waiting times for admission at the Royal Wolverhampton NHS Trust had become longer and delays in intervention and treatment became inevitable. In 2014, the Trust developed a nurse-led abdominal paracentesis day-case service. A qualitative evaluation of the service was conducted using in-depth patient interviews and surveys to determine the impact of the service, including how the new nursing role affected the patient experience...
July 13, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28699240/the-prevalence-of-peripheral-intravenous-cannulae-and-pattern-of-use-a-point-prevalence-in-a-private-hospital-setting
#15
Kelvin Wong, Alannah Cooper, Janie Brown, Leanne Boyd, Michele Levinson
AIMS AND OBJECTIVES: to determine the prevalence and pattern of use of peripheral intravenous cannula (PIVC) in hospital wards. BACKGROUND: PIVC are commonly used in acute health care to directly access the bloodstream for the administration of medications, intravenous fluids (IVF) and blood products. PIVC are associated with multiple adverse events including hospital acquired bloodstream infection, thrombophlebitis, and pain/discomfort. Administration of IVF is associated with impaired mobility and nocturia which may increase falls risk in the elderly...
July 12, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28692619/effects-of-a-systematic-quality-improvement-process-to-decrease-complications-in-trauma-patients-with-prehospital-peripheral-intravenous-access
#16
Angie Garrett, Stacy A Drake, John B Holcomb
Peripheral intravenous (PIV) catheterization is commonly performed, and its complications are costly, may result in serious health issues, and may adversely affect patient satisfaction. At our large urban Level I trauma center, we identified a cluster of 7 PIV complications from prehospital insertions in a 5-month period. Several of the patients developed noninfectious as well as infectious, limb-threatening complications requiring aggressive operative intervention. A performance improvement project was chartered to identify the cause of PIV complications and review current nursing practice...
July 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28690700/effects-of-staff-education-and-standardizing-dosing-and-collection-times-on-vancomycin-trough-appropriateness-in-ward-patients
#17
Drayton A Hammond, Lexis N Atkinson, Taylor B James, Jacob T Painter, Katherine Lusardi
BACKGROUND: Many institutions have guidelines for initiation and monitoring, but not timing, of vancomycin. OBJECTIVE: Our objective was to evaluate vancomycin trough collection appropriateness before and after an initiative to change the dosing and trough collection times in ward patients. METHODS: A retrospective cohort study of ward patients from May 2014-16 who received scheduled intravenous vancomycin was performed. Nurse managers and pharmacists provided staff education...
April 2017: Pharmacy Practice
https://www.readbyqxmd.com/read/28682999/primary-intravenous-set-consumption-across-3-branded-infusion-pumps
#18
Nancy Hedlund, Shishir Sarangpur, Shannon Kayler, Kathy OʼBrien, Idal Beer
This retrospective study of 6426 hip replacement, coronary artery bypass graft, and colectomy surgeries across 23 US hospitals found that intravenous (IV) set designs that can be interchanged for use both in gravity-fed and automated pump delivery systems are replaced less frequently than IV sets designed for use primarily by one delivery method. Semistructured interviews with nurses highlighted the impact of set design on nursing workflow when moving between gravity-fed and pump-based administration. Use of interchangeable, single-design IV sets across gravity and automated infusions minimizes disruptions to closed systems, may reduce nurses being distracted from patients' clinical needs when replacing sets, and may yield supply cost savings...
July 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/28679563/quality-improvement-initiative-to-increase-the-use-of-nasogastric-hydration-in-infants-with-bronchiolitis
#19
Mythili Srinivasan, Cassandra Pruitt, Erin Casey, Keerat Dhaliwal, Cori DeSanto, Richard Markus, Ayelet Rosen
BACKGROUND AND OBJECTIVES: Intravenous (IV) hydration is used primarily in children with bronchiolitis at our institution. Because nasogastric (NG) hydration can provide better nutrition, the goal of our quality improvement (QI) initiative was to increase the rate of NG hydration in eligible children 1 to 23 months old with bronchiolitis by 20% over 6 months. METHODS: We used Plan-Do-Study-Act cycles to increase the use of NG hydration in eligible children. Interventions included educational and system-based changes and sharing parental feedback with providers...
August 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28677464/letter
#20
Amy Jones
How about training nursing students to do intravenous medication, cannulation and bloods? It would be far more useful for our everyday roles as newly qualified nurses.
July 5, 2017: Nursing Standard
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