There is one study on leaving IV tubings for 96 hours. I can't remember the date of publication but it is five years old. Review on www.pubmed.gov studies by Maki, Schertz, Mermel, and Crinch and you will find the study. kathy
________________________________ From: [EMAIL PROTECTED] on behalf of Venz, Shirley Sent: Tue 11/1/2005 9:20 AM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: RE: IHI initiative/CVC bundle I am new to this list serve. Forgive me if my questions are overly simplified. We are a small rural acute care hospital. First question: CDC recommendations now allow peripheral IV sites to remain up to 4 days. Our nurses would like to change to this standard. However, I cannot find data regarding leaving IV tubing longer than 3 days. Does it make sense to change tubings every 3 days but peripheral IV sites every 4 days? Second question: What is the standard for measuring arm circumference after PICC line insertion? Notably, what part of the arm should be measured - upper arm or lower arm? Every shift, once a day, baseline then if questionable swelling? Thank you for any help. Shirley -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Fritz, Donna Sent: Tuesday, November 01, 2005 9:57 AM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: IHI initiative/CVC bundle To my IV listserve colleages: I was able to talk with Dr. Townsend this past Friday. Here is a summary of our discussion: IHI is really more interested in improvement within the hospital over time than achieving a "benchmark" standard. So it's important to have a baseline measurement of some sort prior to implementing the CVC bundle. This is also the way they will determine how many lives have been saved. In addition, it is difficult to compare a university med ctr with a small community hospital, given the differences in resources. Which lines? Implanted ports and tunneled caths are not included. PICCs and non-tunneled "acute care" catheters are included. Where in the hospital to include? The approach of IHI is to start in the ICU. With baseline data to compare to the improvement after the bundle is implemented, you will have some data to show the next department you'd like to approach (e.g. ER, Anesthesia, or IR). This is a method of using this evidence to get others to get on board. He stated that it does not work to roll this out hospital wide. Get your data together to share with the next area. The last area might be acute care units. Dr. Townsend is the point person for the CVC bundle for IHI. He said I could share his email and he would be happy to answer any questions. His email is [EMAIL PROTECTED] Sean, I hope I represented our conversation accurately. The IHI website is www.ihi.org if you are unfamiliar with the save 100,000 lives campaign. Donna Fritz ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. *****************************************************************************
