Hello,
I am in the process of updating policies where I work. One policy that I am trying to get approved is that of the having a MD KVO order where the MD has to specify the KVO rate in an order. INS standards are very clear on this, but my hospital would rather put a KVO rate in a policy. I know this would not meet the standards of practioce, but I'm currious to see what other hosopitals are doing to adress this issue at all & what your current policy is or what you are doing?
Thx for your feedback.
Tara
Hi Tara,
I am also looking into updating (starting!) KVO policy at our hospital. I was thinking that we might write a policy that states that KVO must be part of a physician order, but that we could create a protocol so that physician order could read "KVO per protocol"
I would be interested to know what KVO rate your hospital is considering using, and WHY. I have been unable to find any research or evidence for rate determination. Our local infusion company uses 0.4cc/hr, but in-hospital KVO rates I am seeing range from 10-50cc/hr!!
Thanks,
Eva
HI,
After speaking with the INS education consultant about the standard on this, I was told that you really need to have a MD order, due to the fact that every patient's needs are different & what one patient may be able to tolerate for a KVO rate another may not. This makes sense & I actually agree with the standards.
I haven't found any research or statements supporting a specific KVO rate, infact I've read articles that support the need for flushing even though there is a continuous rate infusing, becuase of the laminar flow not being enough to clear the vein & prevent clot/fibrin formation
The issue is getting the nurses to obtain a KVO order & the Doc's to write it. See at the hospitak that I work at this has been an independent nursing action so it's a really hard sell. It's looked at as going backwards.
Tara Dennis, RN,BSN,CRNI
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