Peripheral Vascular Cannula Starter Guide Reducing Invasive Device Associated Infections: Peripheral Vascular Cannula

AIM Reduce Peripheral Vascular Cannula and Infusion Associated Infections and Harm

Phlebitis Inflammation of the innermost layer of the vein: Mechanical Chemical infective Lumen size Poorly combined drugs, glass particles 2. Low PH, potassium chloride, hypertonic solutions, amino acids and some antibiotices 3. In situ for more than 4 days (associated with bacteraemia rate of 4%) –concealed by clothing Contamination by disinfectants systemic or localised Macklin 2003

Appendices VIP score (Jackson 1998) Infiltration scale (INS 2006) Infusion Nurses Society 2006

Bundles Aseptic Non-Touch Technique Documentation Remove PVC as soon as....or if VIP score >2 ......clinically indicated....

Number of cannulae inserted between PVC associated phlebitis Measure Number of cannulae inserted between PVC associated phlebitis ‘Plotting successes between failures’ (insertions with no PVC infection/harm occurring) the more cannula insertions between events the better the outcome. Days between PVC associated infections.......number of insertions between phlebitis! Might be 3 PVCs inserted on 1 day, but only counting days between. Should count events i.e. 3

Grade Clinical Criteria No symptoms 1 Skin blanched Oedema <1 inch (2.5 cm) in any direction Cool to touch With or without pain 2 Oedema 1-6 inches (2.5cm-15cm) in any direction 3 Skin blanched, translucent Gross oedema >6 inches (15cm) in any direction Mild to moderate pain Possible numbness 4 Skin tight, leaking Skin discoloured, bruised, swollen Deep pitting tissue oedema Circulatory impairment Moderate to severe pain Infiltration of any amount of blood product, irritant, or vesicant