In pediatrics this has always been the practice because of the limitations of finding access sites and there have been no reported adverse consequences in this practice. The adult population is slower to transition to this practice as they have not had enough eduaction as to the new standards of practice in our institution.
Our microbiologist was concerned about the quality of data that exists for PIV that have lasted more than 7 days as far as infection risks. So, for that reason, we have decided to change our protocol for a remplacement of the PIV when clinically indicated or every 7 days, which ever comes first.
We also switched to the Nexiva with the 3M Nexiva dressing when we did the change - to help increase dwell time.
France Paquet
France Paquet, RN, MSC, VA-BC(TM), CVAA(c)
Clinical Practice Consultant, IV therapy and Vascular Access
Transition support office
McGill University Health Center
Montreal, Quebec, CANADA
In pediatrics this has always been the practice because of the limitations of finding access sites and there have been no reported adverse consequences in this practice. The adult population is slower to transition to this practice as they have not had enough eduaction as to the new standards of practice in our institution.
No, Infection Control would only go to 96 hours for PIV restarts & tubing changes. CDC influence.
We did it last December, with a little twist:
Our microbiologist was concerned about the quality of data that exists for PIV that have lasted more than 7 days as far as infection risks. So, for that reason, we have decided to change our protocol for a remplacement of the PIV when clinically indicated or every 7 days, which ever comes first.
We also switched to the Nexiva with the 3M Nexiva dressing when we did the change - to help increase dwell time.
France Paquet
France Paquet, RN, MSC, VA-BC(TM), CVAA(c)
Clinical Practice Consultant, IV therapy and Vascular Access
Transition support office
McGill University Health Center
Montreal, Quebec, CANADA