Vascular Access Educator’s Survey Finds IV Tubing Dislodgement Occurs Frequently, Threatening Patient Safety

HARTWELL, Ga., Sept. 28, 2017 /PRNewswire/ —  Accidental dislodgement of peripheral intravenous (PIV) devices may be more common than previously recognized, according to findings from a recent clinical survey. Dislodgement may also present a substantial risk to patient safety, the survey showed. The survey results were reported at the 31st Annual Scientific Meeting of the Association for Vascular Access (AVA).

The survey was described in a scientific poster by local clinical educator Nancy Moureau, PhD, RN, CRNI, CPUI, VA-BC.  Dr. Moureau is an internationally recognized expert and educational consultant in vascular access.

The survey included responses from nearly 1,600 nurses and vascular access specialists who provide direct patient care. Among the survey’s findings, 58% of respondents said that accidental dislodgement occurred “daily” or “very often” in their facilities.  

For the vast majority of hospital patients, PIVs are life-saving devices that stay in place as intended. But data on dislodgements has not kept up with changing clinical practice and the growth of infusion therapies in both acute care and home care settings.

“I wanted to look at the issue of accidental dislodgement quantitatively,” Dr. Moureau said. “I wanted to assess the actual prevalence of dislodgement today, to see how often clinicians actually believe it occurs and gauge their perceptions of its significance.”

Dr. Moureau’s questionnaire received 1,567 responses, the majority from nurses on an IV team or otherwise specializing in vascular access. Most respondents had more than 20 years of clinical experience in such areas of expertise as anesthesiology, neonatology, and home health/infusion.

The survey showed that dislodgement occurs with all types of catheters, but is most prevalent with short peripheral catheters or PIVs, the form most patients receive in the emergency room or for outpatient surgery. The dislodgement rate for these devices is 96.5%. The second highest…

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