Preventing Peripheral Iv Site Infections Essay

4082 words - 17 pages


Preventing Intravenous Site Infections and Phlebitis
Betina McCrosky
Evidence-Based Nursing Research
WZT Task 1
Dec. 27, 2014




A 1-2
Uslusoy, E., & Mete, S. (2008). Predisposing factors to phlebitis
in patients with peripheral intravenous catheters: a descriptive
study. Journal Of The American Academy Of Nurse
Practitioners, 20(4), 172-180. doi:10.1111/j.17457599.2008.00305.x


Authors of this investigative review wanted to research the
predisposing factors in peripheral intravenous (IV) catheters
causing phlebitis. Millions of patients hospitalized ...view middle of the document...

309 developed 1st. degree phlebitis
(redness and pain). Age and gender had no effect. The location




of the catheter when place in the elbow (antecubital) and the use
of infusion pumps did show a higher rate of phlebitis. Chi-square
and logistic regression analyses were performed. The results
showed, that time (catheter left in place), type of infusions and the
frequency of drugs being administered were major factors in
causing phlebitis. Catheters place in the OR also had a lower rate
of phlebitis than the IVs inserted in the ED.
Researcher’s conclusion

The sample was large enough. Most of the data was collected by
one person thus increasing the confidence level with the results.
The data shows that by placing the IV in the elbow area does
increase the rate of phlebitis along with certain solutions and/or
drugs being given IV route. There is conflicting literature on age,
gender and the use of infusion pumps increases the rates of
phlebitis. Further studies need to be done.
It is important for nurses to learn and know the risk factor and be
proactive in preventing phlebitis.

The evidence presented in this research article I have chosen, does support the
researchers ‘conclusion. The time, location, medication and the use of pumps are all factors
needed to be considered when inserting a peripheral intravenous catheter.
The only ethical issue that may have arisen for the researcher would be not having the
consent of the patients or the hospital that allowed the study to be performed. In this case they



This research study was a descriptive comparative study of older studies results and this study
which was performed in 2008. The way in which data was collected was observational. I do not
believe there is a better way to conduct this kind of research.

Peripheral intravenous catheters are inserted into just about every patient that is admitted
into the hospital. Having IV access is crucial in saving lives. Medications, fluids and blood
products are infused through peripheral intravenous catheters. The process of inserting catheters
aseptically and correctly is a nursing care problem at times. There are nurses who are skilled at
placing IVs and then there are not so skilled nurses or techs placing IVs. Nursing documentation
of the IV is also a problem. Assessment of the IV every shift and during your shift is important
to keep the IV patent and or removing it due to pain or infiltration. Phlebitis is serious and can
lead to blood stream infections and permanent damage to the vein.
A 2 See Attached Matrix
B 3 Annotation Bibliography
Ahlqvist, M., Bogren, A., Hagman, S., Nazar, I., Nilsson, K., Nordin, K., &
…Nordstrom, G. (2006). Handling of peripheral intravenous cannulae: effects of
evidence-based clinical guidelines. Journal of Clinical Nursing. 15(11), 1354-1361.

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