Developing a Nurse-Driven Vascular Access Device Order Set Using the Electronic Medical Record.

Authors

Beth A Bechdel, Division of Nephrology, Reading Hospital - Tower Health, West Reading, PAFollow
Karen J Bardman, Division of Cardiothoracic Surgery, Reading Hospital - Tower Health, West Reading, PAFollow
Cheryl Machemer, Department of Medicine, Reading Hospital - Tower Health, West Reading, PAFollow

Document Type

Article

Publication Date

1-1-2022

Abstract

The creation of an electronic order set to identify appropriate vascular access device utilization was the basis of this prospective quality improvement investigation, at a Level 1 trauma center in southeastern Pennsylvania. The data used in this investigation were gathered over a 36-month time frame from January 2017 through December 2019. This patient-centered approach utilized the evidence-based guidelines developed from The Michigan Appropriateness Guide for Intravenous Catheters and recommendations from the Infusion Therapy Standards of Practice. The algorithmic approach developed by vascular access nurses led to statistically significant reductions in unnecessary peripherally inserted central catheter placement. The results also demonstrated an increase in appropriately placed peripheral intravenous catheters. Leveraging the electronic medical record with nursing expertise fosters patient safety across the continuum of care.

Publication Title

Journal of infusion nursing : the official publication of the Infusion Nurses Society

Volume

45

Issue

1

First Page

20

Last Page

26

Recommended Citation

Bechdel, B., Bardman, K., & Machemer, C. (2022). Developing a Nurse-Driven Vascular Access Device Order Set Using the Electronic Medical Record.. Journal of infusion nursing : the official publication of the Infusion Nurses Society, 45 (1), 20-26. https://doi.org/https://doi.org/10.1097/NAN.0000000000000450