We have long had a procedure book ("Perry and Potter acute care procedure
manual") that was supposed to be our guide. Noone looked at it, or read it.
As far as oversight within the outpatient area, this is something that has been
lacking, and only in the past couple of years have outpatient areas become
involved in the professional nursing service organization, and in the
committees that decide practice and procedure. Many things in the past had
been written, and the inpt was considered different from OP, and each
individual clinic followed its own internal decisions with minimal
communication. Now the outpatient areas are trying to standardize to make
things more convenient for the patient, and many of these little things are
coming up. Plus the whole IV thing has gotten more people in a ruckus than I
ever thought possible.....All these years I couldn't get anyone to pay
attention, finally get some changes through, and they go under a magnifying
glass like you wouldn't!
believe! But it is good.
Sandra L. Schwaner MSN, RN, ACNP
P.O. Box 800377
Angiography/ Interventional Radiology
University of Vriginia
Office: 434-924-9401 - 434-243-7081
Fax: 434-982-6468
Pager # 6180
________________________________
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thu 8/17/2006 2:43 PM
To: VASCULAR LISTSERV; Schwaner, Sandra L *HS; [EMAIL PROTECTED]
Subject: question abt outpt infusions
As regards Sandra's comments about "Unsterile" Tape what is the standard of
practice for starting PIVs--Are there guidelines and who is responsible for
inforcing the standards--Is that a concern for JACHO?
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
-------------- Original message --------------
From: "Schwaner, Sandra L *HS" <[EMAIL PROTECTED]>
> Listservers:
> I've just worked extensively with the practice council, procedure
committee,
> procurement, center for organizational development and
representatives of
> numerous pt care areas to develop a comprehensive IV care package.
One of the
> procedures was on dressing IVs and specified that no unsterile tape
was to be
> used, and that a sterile dressing needed to be applied. When this was
> questioned by the outpatient areas (Iv is only left in for 10 ments
for
> photovoltaic therapy or ct or whatever), I reiterated the need for
infection
> control, and for consistency....when you go to UVA and have your IV
started, you
> can expect it to be started this way and dressed this way. I am now
being asked
> for studies on infection rates in outpatient areas with nonsterile
dressing
> practices......any suggestions?
>
> I believe strongly in evidence based practice, and try to practice
what I
> preach.....but I'm feeling that common sense has left the
building....
>
>
> Sandra L. Schwaner MSN, RN, ACNP
> P.O. Box 800377
> Angiography/ Interventional Radiology
> University of Vriginia
> Office: 434-924-9401 - 434-243-7081
> Fax: 434-982-6468
> Pager # 6180
>
>
