Recently there has been a renewed effort in my institution to retrain the nursing assistants [techs] to draw blood [we do not have in patient phlebotomists] and start IVs
In an effort to minimize blood exposure we are evaluating the concept of blood control IV catheters
We have used BD Insyte Autoguard since it was introduced to market some 15 years ago but there has always been an issue with controlling blood flow when the safety needle was retracted and a saline lock was connected--Even the most experienced IV nurse is occasionally inadvertantly exposed--Those that attended AVA San Jose heard some heartbreaking stories of non needle stick blood exposure incidents from nurses during a panel discussion on the subject
I'm sure there is research on the subject of blood exposure during peripheral IV insertion
We are seeking to develop a tool to survey staff about their experiences with PIV blood exposure in advance of a research project
I would like your views on the subject if you are willing to share specifics of NON NEEDLE STICK BLOOD EXPOSURE DURING THE START OF A PIV
Thank You in Advance of your input
Robbin George RN VA-BC Vascular Access Resource Department Inova Alexandria Hospital Virginia
Robbin, your statement about being sure there was research on blood exposure during PIV insertion is totally wrong. I just finished an integrative lit review on this issue and it has been accepted for publication in JIN. I looked at all literature worldwide published in English from 2000-2010 looking for mucocutaneous exposure during PIV insertion. There is not one single documented case of this occuring in 187 publications that I examined. All evidence is anecdotal including what was presented at AVA - individuals telling about their individual experiences. I am sure they are very accurate and are passionate about what they have experienced, but this has never made it into any published literature. I gave a presentation about this at INS and AVA, both this year. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Here is a stupid question?
Is there no national database for reporting . You report needlestick injuries to so how about blood exposure reporting
I bet blood exposure is common but not reported so we need a mechanism to report this
kathy
No, there is no national database for reporting needlestick injury or mucocutaneous exposure (MCE). There is EPINEt at UVA that tracks data from about 29 or 30 hospitals. There is about 4 NSI reported for every MCE reported to EPINET. That is the best data we have. EPINET data plus data on MCE in these studies shows very little information about when and how MCE occurs. I think we have focused on NSI and not MCE. I do not think MCE is common from PIV insertion but I do think it is probably not being reported when it does occur. We have no published evidence on the distance and direction of blood splashes that occur from any of the various safety devices available. My article will appear next spring. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861