Team IV - an Evidence-Based Project

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TEAM IV

by

TIFFANY C ORANGE RN

EVIDENCE-BASED PRACTICE PROJECT

Submitted to the Faculty of NUR 49800 Capstone Course in Nursing

 School of Nursing

of Purdue University Calumet,

Hammond, Indiana

in partial fulfillment of course requirements for the degree of

BACHELOR OF SCIENCE

May, 2016

© COPYRIGHT

TIFFANY C ORANGE RN

2016

ALL RIGHTS RESERVED

ACKNOWLEDGMENTS

I am using this opportunity to express my gratitude to everyone who supported me throughout this evidence-based project. I am thankful for their aspiring guidance, invaluably constructive criticism and friendly advice during this project. Thank you for sharing your suggestions and encouragement. I would like to express my warm thanks to Dane Thomas RN my clinical liaison for his support and wisdom.  To Karen J. Klosinski-Puetzer, MSN/ED, RN for your direction and support in helping me accomplish not only the development of this project, but everything during the pursuit of my professional nursing career. Stephanie Didion, BSN, RN and Terrie Fontenot, MSN, RN thank you for being you and your constant support and encouragement.

TABLE OF CONTENTS

Section Page

ACKNOWLEDGMENTS        iii

TABLE OF CONTENTS        iv

ABSTRACT        v

SECTIONS

1. Introduction        1
2. Review of Literature and Synthesis of the Evidence        4
3. Plan for Implementation        xx
4. Plan for Evaluation        xx
5. Conclusions, Recommendations and Implications        xx

REFERENCES        xx

LIST OF TABLES

Table        Page

Table 1 Put Name of Table Here        xx

Table 2 Put Name of Table Here        xx

Table 3 Put Name of Table Here        xx

ABSTRACT

Purpose: An evidence-based project is proposed to determine whether developing a specialized Intravenous (IV) Team to insert peripheral and central lines would reduce infection rates and lower hospital costs. Will developing a specialized Intravenous Team to insert all Peripheral Intravenous Catheters and Central Venous Lines reduce hospital infection rates and lower hospital costs?

PICO question: “For patients requiring the placement of an intravenous catheter, does the use of a specialized Intravenous Team reduce the risk of infection compared to those being inserted by inexperienced staff members?”

Significance of the problem:

Summary of synthesis of evidence:

Recommended implementation for practice change:

Conclusion/recommendations:

Keywords: Specialized Intravenous Team, Peripheral Intravenous line, Central Venous lines, and intravenous catheter.

SECTION 1

Team IV

Intravenous therapy (IV therapy) is the infusion of electrolyte solutions, medications, blood products, and nutrients. Intravenous means “within vein.” There are two types of intravenous lines that are used, Peripheral and Central Venous. Peripheral Intravenous lines are used when a patient requires intravenous access for a short amount of time. Lasting no more than a few days, Peripheral Intravenous lines often infiltrate easily. A Central Venous Line is a central line that is inserted in a large blood vessel, usually the superior vena cava. These are used for patients that require an intravenous line for a longer period of time, frequent blood draws, and medications that can be caustic to the smaller veins. There are three types of Central Venous Lines: Peripherally Inserted Central Catheter (PICC) Lines, Portacath, and Tunneled Catheter.

Purpose:

                                               An evidence-based project is proposed to determine whether developing a specialized Intravenous Team for the placement of peripheral and central lines to reduce infection rates and lower hospital costs. Will developing a specialized Intravenous Team to place all Peripheral Intravenous lines and Central Venous lines reduce hospital infection rates and lower hospital costs?

Relevance:

       A main goal among hospitals nationally currently is to achieve zero percent intravenous catheter-related infections. The CDC Guidelines for the Prevention of