Volume 4 Supplement 1

20th International Symposium on Intensive Care and Emergency Medicine

Open Access

Baseline audit of manipulation and management of intravenous therapy delivery systems

  • C Martinsen1,
  • A Hughes1 and
  • M Smithies1
Critical Care20004(Suppl 1):P220

https://doi.org/10.1186/cc939

Published: 21 March 2000

Full text

Background

We are developing local evidence-based guidelines on the management of intravenous delivery systems in a 14-bedded Teaching Hospital General ICU1. A baseline audit was carried out to assess current practice prior to the publication of our proposed guidelines, and re-audit.

Methods

We performed an observational audit of the setup or change of an intravenous infusion and the management of intravenous delivery systems. ICU staff were aware that an observational audit was in progress but blind to what was being observed. The observations were carried out over a three-week period.

Results

See Table.

Conclusion

Practice is short of the stringent care necessary to avoid infection related to the delivery of intravenous therapy. The lack of consistency is also an issue. This audit highlighted the need for clinical guidelines and also the value of clinical audit of practice. Guidelines will now be introduced and developed in the light of appraisal of evidence, further audit and user feedback.

Table

Set up or change of an intravenous infusion (n=13)

Yes

No

Are hands washed before the procedure?

1

12

Are hands washed with soap and water?

1

12

Are hands washed for at least 15 s?

0

13

Is a clean plastic apron worn?

8

5

Are clinically clean gloves worn?

8

5

Was alcohol swab used prior to disconnection?

0

13

Was connection allowed to dry before disconnection?

0

13

Was set disposed of as unit policy?

7

5

Was alcohol swab used on valve prior to connection?

0

11

Was valve allowed to dry prior to connection?

0

11

Set up or change of an intravenous infusion (n=10)

  

Do all connections have a luer lock?

32

0

Are connected lines labelled?

23

9

Are all labelled lines within 72 h of date/time?

6

28

Do venous catheter hubs have Smartsite valve connected?

33

0

Do all catheters have a transparent dressings?

13

1

Are the catheter entry sites visible?

12

5

Does the dressing need to be changed?

1

15

Are all iv lines secured to the patient with tape?

4

11

Authors’ Affiliations

(1)
Critical Care Services, University Hospital of Wales

Copyright

© Current Science Ltd 2000

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