Management Of Intravenous Therapy Research Articles

A Novel and Low-Cost Cloud-Enabled IoT Integration for Sustainable Remote Intravenous Therapy Management

Intravenous therapy is the standard medical procedure that is used for administering medications directly into the vein. The automated drug infusion devices are designed in such a way that they provide exact medication doses with safety measures included. On the other hand, this is why they must be regularly watched by healthcare providers. This paper introduces a cloud-based IoT drug infusion system that was developed to address remote patient care needs. This system enables remote, accurate, and secure management of medication delivery. Its key contributions include allowing healthcare providers to control and monitor IV infusions remotely while maintaining safety features. The system consists of a microcontroller that is responsible for data processing, a control system that oversees infusion rate regulation, and an IoT-based framework that allows for remote monitoring and alerts via a user-friendly web interface. This new approach to care will therefore improve patient care by providing remote management of medications.

Current status of central vascular access devices in pediatric patients in 31 hospitals nationwide

Objective To explore the currents status of central vascular access devices (CVADs) in children's medical center in China and to provide a reference for the standardized use of CVADs and specialized nursing as well as a basis for pediatric intravenous therapy management. Methods Totally 31 hospitals of Futang Research Center of Pediatric Development, children's hospitals of the medical treatment alliance as well as women and children care centers and general hospitals with pediatric departments were selected by convenient sampling from July 23rd to 31st, 2018. All the pediatric patients using CVADs were investigated with the Central Vascular Access Device Questionnaire which was designed by the research group, and the incidence of complications was also observed. Totally 1 333 questionnaires were collected, among which 1 288 were valid, accounting for an effective recovery rate of 96.62%. Results There were 22 ClassⅢ and 9 ClassⅡ hospitals among the 31 hospitals. Among the 1 288 pediatric patients who used CVADs, 860 used peripherally inserted central catheters (PICC) , accounting for 66.77%; 342 used central venous catheters (CVC) , accounting for 26.55%; 77 used implantable venous access port (PORT) , accounting for 5.98%; and 9 used umbilical venous catheters, accounting for 0.70%. CVADs were mainly used in the Departments of Hematological Neoplasms, ICU, Intensive Care Unit Pediatric Surgery, Vasculocardiology and Neonatals. PICC, CVC and PORT were mainly applied to upper extremities (90.00%, 74 cases) , jugular vein (73.39%, 251 cases) and the breast (96.10%, 74 cases) respectively. In the maintenance of CVADs, there was the problem of co-existing dressings. Conclusions CVADs have been widely used in pediatric patients, and the choice of CVADs is relatively standardized. However, the maintenance of the catheters, the use of dressings, the selection of infusion connectors and the control of related complications still need to be strengthened. It is recommended that nursing professionals and nursing managers should further strengthen their knowledge about the placement and maintenance of CVADs, and intensify their management and supervision in accordance with international and national guidelines and standards for intravenous infusion therapy to further reduce the incidence of vascular access complications in pediatric patients. Key words: Hospitals, pediatrics; Complication; Central vascular access; Catheter maintenance; Current status survey

Investigation of profession development status of intra-veineuse nurse team in Anhui province

Objective To investigate the profession development status of intra-veineuse (IV) nurse team in Anhui province, provide the reference and baseline data on intravenous therapy management of province unity standard. Methods Using the cluster sampling method, the questionnaire designed by IV professional committee of Anhui province was used to investigate the status of IV nurse team in 137 hospitals. Results IV nurse in 35 hospitals (25.6%) was accepted the intravenous treatment knowledge training, however no specific provision for training time in 91 hospitals (66.4%). Organization in PICC evaluation was diversified, such as manufacturer (40 accounted for 29.2%), nursing association in province (city)(38 accounted for 27.7%) and nursing department in hospital (36 accounted for 26.3%). 28 hospitals had PIVAS (20.4%). 62 hospitals established IV nurse team (45.3%), 87 hospitals established IV quality control system (63.5%). Implementation strength was good in the special inspection, the following feedback in standardized operation and adverse events (81 accounted for 59.1%, 72 accounted for 52.6% and 75 accounted for 54.7%, respectively), however, there was no enough emphasis on regular meeting, organization consultation and collection data of regular basis (59 accounted for 43.1%, 52 accounted for 38.0% and 32 accounted for 23.4%, respectively). Conclusions IV nurse team has been preliminarily established in Anhui province, however there are some problems, for example, specialist nurse training and examination is not unified, overall quality control system have not established, external conditions need to be improved. Related departments should actively formulate corresponding countermeasure to promote the healthy development of the IV nurse team. Key words: Infusions, intravenous; Specialism; Cross-sectional study; Nursing management

Survey and countermeasures on the development of venous therapy in 42 hospitals in Ningxia region

Objective To investigate the current situation and existing problem of development and management of intravenous therapy in Ningxia region. Methods A total of 42 hospitals from Ningxia region were admitted to questionnaire survey. Results Venous vascular access tools usage: 42 hospitals used scalp needle for infusion, 73.80% of the hospitals used intravenous indwelling needle, 14.28% of the hospitals carried out the PICC tube, only 1 hospital had umbilical vein for newborns, med-long catheter and implantable infusion port were not carried out in all hospitals; intravenous therapy equipment: 3 hospitals had vein of the configuration center, 39 hospitals 3 hospitals with a vein of the configuration center, 39 hospitals in the therapeutic room of the hospital to complete the work in the to complete the anti tumor drug allocation of only 3 hospitals completed the work in the therapeutic room, only 3 hospitals completed the anti tumor drug distribution in the biological cabinet; management of intravenous therapy: 3 hospitals established venous treatment team to carry out consultation work, 23 hospitals had the relevant procedures for venous treatment, 2 hospitals carried out the special quality control work. Conclusions Intravenous therapy in Ningxia hospital is lagging behind, and there are security risks in occupational protection of vein disposition, so development of venous management, training, scientific research and other aspects should be systematic, professional and standardized. Key words: Vein therapy; Development status; Countermeasure

Fluid mechanics.

Practice profiles are reflective pieces of writing based on nursing standard continuing professional development (CPD) articles. Suzanne Quinlan gained ten continuing education points for describing how reading a CPD article on intravenous therapy management has inspired her to update her knowledge

Essential clinical skills for beginning registered nurses

A research project investigating the identification of essential clinical skills for registered nurses in their first year of practice was undertaken in a number of Sydney metropolitan hospitals in Australia. Using an adaptation of the Williams & Brammer (1996) study, 206 beginning registered nurses were surveyed to determine the clinical skills they performed frequently in their daily routine, and those they considered essential. One hundred and thirty two questionnaires were returned and the responses were analysed for frequency of clinical skill performance and essential rating.The clinical skills rated as most frequently performed related to universal precautions for infection control, vital sign assessment, management of intravenous therapy, administration of all forms of medication and a wide range of patient hygiene related skills. Many clinical skills rated as essential by these nurses were not rated as performed frequently, which may indicate concern for the need to draw upon less frequently performed skills during emergency situations and thus they rate these skills as essential. This study clearly identified the clinical skills rated as performed frequently by beginning registered nurses and identified those clinical skills deemed essential to beginning nursing practice by novice nurses. A larger sample size would strengthen the reliability of these findings.

Peripheral intravenous therapy management

Many nurses are involved in the management of peripheral intravenous therapy. Using scenarios of common presenting problems and evidence-based interventions, this article describes rationales for best practice. Readers are encouraged to critically appraise their own practice and to consider ways to improve the standard of intravenous therapy in their clinical area. This article first appeared in Nursing Standard, 14, 4, 53-60. Readers who successfully completed a written ‘practice profile assessment’ on that occasion may not do so again

Peripheral intravenous therapy management.

Many nurses are involved in the management of peripheral intravenous therapy. Using scenarios of common presenting problems and evidence-based interventions, this article describes rationales for best practice. Readers are encouraged to critically appraise their own practice and to consider ways to improve the standard of intravenous therapy in their clinical area.

The management of intravenous therapy in palliative care

Individuals with cancer often require intravenous therapy for diagnostic purposes; the administration of treatments during surgery, radiotherapy and chemotherapy; through to supportive palliative therapies. A wide range of vascular access devices are now available for the delivery of intravenous therapy, using either the peripheral or central venous routes, and can be selected to provide the patient’s therapy while maintaining their quality of life needs. Careful device selection should involve both the patient and the nurse in order to provide a safe and comfortable method of delivery of treatment as well as reducing the risk of complications.

Collecting the evidence: the nursing management of intravenous therapy

Objectives: This study was prompted by the need to identify and measure the impact of change on the existing roles and responsibilities of nurses with reference to the management of intravenous (IV) therapy in terms of activity and workload, standards of care, scope of practice and risk management. Design: a study was designed to include: • an activity analysis to identify changes in nursing workload • a small research-based project to examine clinical practice • a risk management exercise to identify ‘the harm’. Setting: a large acute teaching hospital with regional specialities. Participants: key representatives from research, audit, resource management, education and training and clinical practice worked in partnership to inform an evidence-based approach to support practice. Findings: evidence-based practice can be enhanced by combining traditional researchmethods, findings from service evaluation, audit and risk management exercises. Discussion: the use of local data, specific research findings and the expertise of practitioners, managers, educators and researchers can be combined to underpin safer, more clinically and cost-effective approaches to the nurse management of IV therapy.

J. M. Clayton, B. Entwhistle, S. Pickering and M. Tune Clinical Effectiveness inNursing (1999) 3, 25–35 Collecting the evidence: the nursing management of intravenous therapy

J. M. Clayton, B. Entwhistle, S. Pickering and M. Tune Clinical Effectiveness inNursing (1999) 3, 25–35 Collecting the evidence: the nursing management of intravenous therapy

J. M. Clayton, B. Entwistle, S. Pickering and M. Tune Clinical Effectiveness in Nursing (1999) 3, 25–35 Collecting the evidence: the nursing management of intravenous therapy

J. M. Clayton, B. Entwistle, S. Pickering and M. Tune Clinical Effectiveness in Nursing (1999) 3, 25–35 Collecting the evidence: the nursing management of intravenous therapy

Management of intravenous therapy in general wards of a large teaching hospital.

The monitoring of intravenous therapy by nursing staff in medical wards over an 18 hour period was studied. The study focused on the measuring or flow rates, the technique used for unblocking intravenous lines and how recording was managed. Only intravenous therapy which was likely to be in situ for longer than a 24 hour period was studied in randomly selected medical wards. Procedures were carried out by all categories of staff. Although timing devices were used for flow rates they were still incorrect. A need for improved recording was established and no clearly defined methods for unblocking intravenous lines were found.

Intravenous therapy management: Who will develop insertion site symptoms?

In this multisite study, symptoms at the intravenous (IV) insertion site and the relationship of patient and clinical data to these symptoms are described. It was found that approximately 40% of the subjects experienced at least one site symptom. The most common was pain. Presence of symptoms was associated with IV site duration, potassium chloride concentration, number of antibiotics, and solution osmolarity. Infusions started by anesthesiologists and sites with no dressings were least likely to be symptomatic.

The Nurse in an Intravenous Therapy Program

At the Ohio State University Health Center, we found that we needed to take another look at the system under which patients were being given intravenous fluids and medications which the doctors had prescribed. Heavy schedules kept the doctors in the operating room for long hours, rounds to see their patients took time, schedules for classes had to be met. The therapy was squeezed into the physician's already full schedule and as a result the patient's rest and meals were interrupted for intravenous fluids and medications. There was even a possibility that recovery might be delayed by poor management of intravenous therapy. Not only had our hospital grown bigger, but early ambulation and modern drugs had stepped up the turnover of patients and had further increased the total number cared for in the hospital. All these factors had added to the load of the medical and the nursing staff.