Course Access
HI Michael
Interesting…
I know this list is interested in infection 🙂 but I think we would see
better PIV results overall with that approach Michael – compared to a
forearm insertion, ACF insertion HR 1.3 times the risk of
occlusion/infiltration and HR *1.7 times the risk of the accidental
removal. *The hand is even worse…(Wallis et al ICHE 2014, attached)
Of course, it would be optimal if the PIV was placed in the forearm, using
aseptic non touch technique and correct skin preparation, in the first
place 😀 I am talking about PIVs we want to use for ongoing
medicine/infusion of course. Procedural PIVs could still be in the hand/ACF
as long as they are removed afterwards.
Glad PIVs are getting emphasis these days, as well as CVADs!!
C
Claire Rickard RN PhD, Professor, NHMRC Centre of Research Excellence in
Nursing Interventions in Hospitalised Patients, Menzies Health Institute
Queensland, Griffith University
Alliance for Vascular Access Teaching and Research (AVATAR)
Visiting Scholar at the Princess Alexandra, Prince Charles, and Royal
Brisbane & Women’s Hospitals
On 4 June 2015 at 09:57, Michael Wishart
wrote:
> Hi Richard
>
>
>
> We routinely resite any PIV cannula that is in insitu on admission at 24
> hours, regardless of where it was inserted (we cannot be sure it was not
> inserted under emergency conditions). One of the changes we are making now
> is to routinely resite all PIV cannulas inserted into the antecubital fossa
> site within 24 hours. We have seen some significant infections in this
> site, and although we cannot generate a large enough sample to be
> statistically significant, we think this might reduce both the selection of
> the antecubital fossa as a site and also reduce the risk of PIV site
> infections and related bacteraemias. Our ID physician is driving this
> change.
>
>
>
> PIV related bacteraemias do not occur in large enough numbers to make
> statistically significant observations in small sample sizes, so it may be
> difficult without enrolling a million or so cannulas (thats a plug for
> some current research, by the way J ).
>
>
>
> I think making these types of changes needs to be discussed at the local
> level, taking all of your current local factors into account. It will be
> hard to power studies to provide evidence for such changes, though.
>
>
>
> Cheers
>
> Michael
>
>
>
>
>
> *Michael Wishart*
>
> Infection Control Coordinator
>
>
> *A *627 Rode Road, Chermside QLD 4032
> *P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
> michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
> [image: cid:image001.png@01D01926.61F1C2B0]
> P *Please consider the environment before printing this email*
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Bartolo, Richard
> *Sent:* Thursday, 4 June 2015 7:14 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Peripheral IV cannulas inserted in unfavourable conditions
>
>
>
> Hi Everyone,
>
> At Western Health currently the procedure for Peripheral IV cannulas
> (PIVC) inserted by ambulance personnel in the community, and any PIVC that
> are inserted in a non-sterile manner in hospital (e.g. emergency situation)
> are resited within 24 hours. Due to an increase in cannula related
> infections and amongst other actions, which Im happy to share, we are also
> considering to resite all PIVCs inserted by ambulance and all those
> inserted in the Emergency departments immediately after admission to the
> wards rather than within 24 hours.
>
> Has any other hospital taken this approach?
>
>
>
> Regards,
>
> Richard
>
>
>
> *Richard Bartolo*
> *Manager Infection Prevention*
>
> Western Health
>
> Gordon Street, Footscray VIC 3011
> Ph. 03 8345 6113 Pager. 03 8345 6666 No. 506
> Mob. 0438 560 441
>
> Email. richard.bartolo@wh.org.au
> Web. http://www.westernhealth.org.au
>
>
> [image: 2010wh_logo]
>
> *C* *ompassion**, **A* *ccountability**, **R* *espect**, **E **xcellence**,
> **S* *afety*
>
>
>
> [image: cid:image001.png@01CF0875.78B557E0]
>
>
>
> Notice:
> This email (and any attachment) is for the exclusive use of the addressee
> and may contain information that is privileged, confidential or protected
> by copyrights. If you are not the addressee or the person responsible for
> delivering this email to the addressee, you must not disclose, distribute,
> print or copy this email and the contents must be kept strictly
> confidential. If this email has been sent to you in error, kindly notify us
> immediately on 03 8345 56113 and destroy the original. Electronic mail is
> not secure and there is also a risk that it may be corrupted in
> transmission. It is therefore your responsibility to check this email (and
> any attachment) carefully and if there are any errors to contact us
> immediately. We do not accept liability for any loss or damage caused by
> such lack of security or transmission errors.
>
>
>
>
> ______________________________________________________________________
> For the purposes of protecting the integrity and security of the SVHA
> network and the information held on it, all emails to and from any email
> address on the svha.org.au domain (or any other domain of St Vincents
> Health Australia Limited or any of its related bodies corporate) (an SVHA
> Email Address) will pass through and be scanned by the Symantec.cloud anti
> virus and anti spam filter service. These services may be provided by
> Symantec from locations outside of Australia and, if so, this will involve
> any email you send to or receive from an SVHA Email Address being sent to
> and scanned in those locations.
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
> NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is
> discouraged by ACIPC. If you wish to discuss specific reference to products
> or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new
> message send an email to aicalist@aicalist.org.au
>
> To send a message to the list administrator send an email to
> aicalist-request@aicalist.org.au.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without
> the quotes) to listserv@aicalist.org.au
>
> ______________________________________________________________________
> For the purposes of protecting the integrity and security of the SVHA
> network and the information held on it, all emails to and from any email
> address on the svha.org.au domain (or any other domain of St Vincents
> Health Australia Limited or any of its related bodies corporate) (an SVHA
> Email Address) will pass through and be scanned by the Symantec.cloud anti
> virus and anti spam filter service. These services may be provided by
> Symantec from locations outside of Australia and, if so, this will involve
> any email you send to or receive from an SVHA Email Address being sent to
> and scanned in those locations.
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
> NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is
> discouraged by ACIPC. If you wish to discuss specific reference to products
> or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new
> message send an email to aicalist@aicalist.org.au
>
> To send a message to the list administrator send an email to
> aicalist-request@aicalist.org.au.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without
> the quotes) to listserv@aicalist.org.au
>
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au