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Becton, Dickinson and — MDS20 (BD Medication Delivery Solutions 2020)
16 slides from Becton, Dickinson and's conference presentation, April 2020
Slide 1: Presentation disclaimer
These presentations were developed by the respective presenter(s), and the findings, interpretations, and conclusions contained or expressed with them do not necessarily reflect the views of BD. To the extent these presentations relate to specific products, such products should always be used in acc
Slide 2: What can we do in education to reduce complications
WAT) IN EDUCATION TO 2EDUCE COMPLICATIONS Gema Munoz-Mozas
Slide 3: Necessary and prevalent VAD use with high failure
Necessary and prevalent – most hospitalised patients require some VAD for therapy delivery Associated risks (multiple insertion attempts, infiltration/ extravasation, occlusion, local or blood stream infection etc…) High premature catheter failure (20-50% VADs fail before the end of therapy)
Slide 4: VAD failure affects patients, practitioners and organisations
VAD failure affects: Patients (poor experience, delays in treatment…) Health Care Practitioner (time wasting, frustration…) Health Care Organisations (wasted resources, poor clinical outcomes…) Best Evidence-based Practice and Guidelines (EPIC3; INS 2016; RCN 2016 and national and local gu
Slide 5: Assessment and VAD selection
Assessment and VAD selection Aseptic Insertion Daily Care and Documentation Administration Prompt Review and Removal
Slide 6: Vascular access is multidimensional and complex
Vascular Access is multidimensional and complex Patients with different needs and other co- morbidities Fragmentation of care Lack of knowledge/ different levels of experience/ lack of consistency/ staff complacency ‘Evidence-Practice’ gap
Slide 7: Can we fix this?
Slide 8: Centralised approach and co-ordination of VAD care
Centralised approach and co-ordination of VAD Insertion Care and Maintenance based on the best evidence available Follow up and trouble shoot VAD issues at the point of care Improve patient experience Raise awareness on VAD care and maintenance Lead on clinical education and training
Slide 9: Standardisation of IV practices
Standardisation of IV Practices Collaboration with IV Training and Competency assessment VAD care and maintenance as part of Harm Free Care Development of Mnemonic memory tools as a system of care for clinical staff
Slide 10: F.R.E.D.D
F.R.E.D.D Functional: Flushing and aspirating, working well Required: ‘In use?’ If not needed…REMOVE Exit Side: VIP score Dressing: Dated, replace if damped, loosened or soiled Documentation: Inspected daily and documented
Slide 11: H.A.N.D.S
H.A.N.D.S Hand Hygiene Antisepsis Non-touch technique Daily inspections: ‘Is it still needed?’ Date on dressing Documentation Scrub the hub for 15 seconds and allow to dry
Slide 12: Raise awareness of vascular access device care
Raise awareness of vascular access device (VAD) care A quick and simple guide to VAD care and maintenance Reinforce the practice of Aseptic Non-Touch Technique (ANTT) when handling VADs Decreased VAD failure due to preventable causes Improved patient clinical outcomes
Slide 13: From 'Unacceptable' to 'Best Practice'
FROM ‘UNACCEPTABLE’ TO ‘BEST PRACTICE’
Slide 14: Yes, we can!
YES, WE CAN!
Slide 15: References
Caguioa et al. (2012) Hands: standardinsed intravascular practice based on evidence. BJN, 21 (14): S4-S11. EPIC 3 (2014) National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infection 86 (S1) Helm et al. (2015) Acce
Slide 16: References
Steere et al. (2019) Reaching One Peripheral Intravenous Catheter (PIVC) Per Patient Visit With Lean Multimodal Strategy: the PIV5Rights Bundle. Journal of the Association for Vascular Access,24 (3):31-43. Ullman et al. (2015) The role of the vascular access nurse practitioner in developing evid
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