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A coalition of nurses and the Association for Vascular Access (Vascular Access Association) has launched a campaign to collect 100,000 signatures from the public and health professionals to support an initiative. security by placing specialists in vascular access in all hospitals in America.
The petition will be presented to Washington lawmakers at the American Nurses Association's Hill Day on June 20, June 20, as part of a focus on nurse / patient ratios.
"Vascular access specialists make a vital contribution to maintaining these staff ratios by allowing highly qualified nurses to focus on patient care instead of being called to facilitate access." intravenous (IV), "said Connie Girgenti, RN and co-organizer of the petition campaign. "Americans for Vascular Access Specialists in Every Hospital (Vascular Access Specialists in Every Hospital) is a public call to action to improve the health outcomes of millions of patients."
Every day, more than 590,000 patients are hospitalized and 98% of them will need a vascular access device. Most of these devices are Peripheral Intravenous (IVP) catheters, which cost between $ 28 and $ 35 per attempt.
According to Girgenti, a specialist in vascular access, patients are often the subject of several needle-sticking attempts, sometimes up to 10 times or more when they get caught. look after at the hospital. In addition to pain and suffering, unsuccessful attempts can lead to further complications, including bloodstream infections, which impact patient outcomes and increase costs.
"Every patient should have to bear only one stick when they arrive at the hospital and a specially trained trainer can do it more than 95% of the time," she said.
Specialists in vascular access evaluate and place intravenous catheters. They collaborate with other clinicians to set the right device for each patient, taking into account factors such as medical history, medications and how long the device will be used. The goal is a patient, a device. Their knowledge and badessment skills are also applied to the care, maintenance and troubleshooting of devices in order to avoid complications.
The use of vascular access specialists is supported by the Centers for Disease Control and Prevention (CDC), the ECRI Institute, an independent authority on medical practices and products and Infusion Nurses company. .
"We want to spur a legislative change that will improve the hospital care received by millions of Americans every day, an identical premise for all patients, from preterm to premature mothers, to cancer patients." terminally ill, "said Sheri Pieroni, RN, co-organizer of the petition drive.
PIV failures can reach 63%, mainly due to the fact that unqualified general nurses place them without ultrasound badistance. Some hospitals have started to build vascular access teams and improve these outcomes, while others are unaware of the difficulties that some patients experience with vascular access.
The stories published by vascular access specialists on social media illustrate the difficulties that patients face.
"A few months ago, a 2-month-old baby lost peripheral intravenous access during the night. Intensivist did not want to place CVL [central venous line] and asked for badfeeding to restart the device. More than 4 nurses and the Intensivist doctor himself blocked the baby more than 12 times, claiming that the child did not need centralized access. This patient then waited 4 to 5 hours without access. When I arrived the next morning, I placed a 1.25-inch (24-g) forearm device at [ultrasound] at the first attempt. It lasted more than a week. "–E.K.
"I recently had a patient who was crying because I had started her PIV in one try. For a prior medical consultation, she had been stung eleven times. "- N.H.
To sign the petition and support vascular access specialists in all hospitals in America, CLICK HERE. Note that there are two steps to confirm your signature.
Companies supporting the petition include Nexus Medical, PICC Excellence, Parker Laboratories, Vygon and Entrotech Life Sciences.
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