Baxter International Inc'

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Risk Reduction Ideas Alternatives IV
Training Janice Gabriel - 13th June
2007 Michele Malster - 25th June 2007
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Why the need for IV Training?

• Majority of patients admitted to hospital will
  be recipients of
• an IV device.
• Increasing number of patients receiving
  parenteral therapy in
• the community.
• IV therapy an add on to other specialties?
• Complications of parenteral therapy affect both
  patients
• staff.
• Appropriate use and management of IV therapy
  will reduce
• complications and save money.

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Device Selection Knowledge of intended therapy

• Patients diagnosis
• Type of therapy osmolality, pH, viscosity etc
• Length of treatment.
• Concurrent treatment.
• Hospital/home based
• Refs RCN 2005 Standards for Infusion Therapy
• Epic2 2007

4
Device Selection Patient Assessment

• Condition of limb
• Age
• Previous problems with venepunctures/VADs
• Relevant medical history
• Contraindications for placement of VAD
• Anaesthetic/sedation required
• Patient preference
• Ongoing education as the body of knowledge
  increases
• Ref RCN 2005 Standards for Infusion Therapy

5
Minimising Potential for Infection Staff
Education

• WASHING of hands
• Appropriate use of alcohol hand rubs
• Well fitting gloves
• SINGLE use, sterile equipment
• Prompt appropriate disposal of equipment

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Minimising Potential for Infection patient

• Explanation consent for the procedure
• Ensure comfort of patient for procedure
• Removal of any excess hair.
• Cleansing of area (preferably with Chlorhexidine
  based cleanser)
• Single use of cannula (never reinsert)
• Removal of any blood prior to stablisation/dressin
  g
• Ensure comfort of patient provide appropriate
  information.
• Refs RCN 2005 Standards for Infusion Therapy
• epic2 2007

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Education - Staff

• Infection control
• Equipment updates
• New therapies
• Latest Guidelines
• Participation in audit

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Education - patients

• Involve in assessment
• Appropriate information especially if not
  hospital based

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Conclusion

• Parenteral therapy is not an add on, but a
  specialist part of patient care. Initial training
  and regular updates are crucial to minimise the
  potential for complications in this rapidly
  developing specialty.