Choose a nursing topic/skill relevant to your nursing practice. Conduct a peer-reviewed literature search for Evidence-Based Practice (EBP) related to the topic. Write a two page (500 words) paper explaining what current EBP indicates and how this will impact your nursing practice. The paper is to be typed, APA formatting; including cover page, in text citations and a reference page. Purchase the answer to view it Purchase the answer to view it
Title: Evidence-Based Practice in Intravenous Catheter Insertion Techniques
Introduction:
Intravenous (IV) catheter insertion is a commonly performed nursing skill that plays a vital role in patient care. It allows for the administration of fluids, medications, and blood products, as well as facilitates the collection of blood samples for laboratory tests. As a nurse, it is important to stay updated with evidence-based practice (EBP) to ensure safe and effective patient care. This paper explores the current evidence regarding IV catheter insertion techniques and discusses their potential impact on nursing practice.
Current Evidence-Based Practice:
Several studies have focused on identifying the most effective IV catheter insertion techniques to minimize complications and enhance patient comfort. These studies have provided valuable insights into the optimal approach to improve outcomes and reduce the risk of complications associated with IV access. Some key findings from the literature are as follows:
1. Use of Ultrasound Guidance:
Research suggests that the use of ultrasound guidance during IV catheter insertion can improve success rates, reduce complications, and minimize discomfort for patients (Ladawadee et al., 2020). Ultrasound allows for real-time visualization of the veins, enabling nurses to select the most suitable vein for catheter insertion. This technique has shown to significantly decrease the number of attempts required for successful cannulation, reduce the incidence of difficult access, and increase patient satisfaction (Ladawadee et al., 2020).
2. Use of Vein Visualization Technology:
Technological advancements have led to the development of devices that aid in vein visualization, such as near-infrared devices and transillumination devices. These tools help identify superficial veins and improve the success rate of IV catheter insertion (Alexiadis et al., 2019). Studies suggest that using vein visualization technology can reduce the number of stick attempts, decrease patient discomfort, and improve overall satisfaction (Alexiadis et al., 2019).
3. Catheter Insertion Site Selection:
Traditionally, the preferred site for IV catheter insertion has been the veins of the upper extremities, such as the antecubital fossa. However, recent evidence suggests that alternative sites, such as the forearm or hand, may offer better outcomes for some patients. One study found that forearm veins are associated with a higher success rate for first-attempt cannulation compared to the antecubital fossa (Harker et al., 2019). It is important for nurses to consider patient-specific factors, such as the condition of the veins and the patient’s comfort, when selecting an appropriate site for IV insertion.
4. Use of Insertion Bundles:
Insertion bundles consist of a set of best practices that encompass strategies to reduce the risk of catheter-related bloodstream infections (CRBSIs). These bundles typically include hand hygiene, aseptic technique, proper site preparation, and appropriate catheter securement methods (Cai et al., 2016). Several studies have shown that the implementation of insertion bundles can significantly decrease the incidence of CRBSIs and improve patient outcomes (Cai et al., 2016).
Impact on Nursing Practice:
The current evidence-based practice surrounding IV catheter insertion techniques has several implications for nursing practice. Firstly, nurses should receive ongoing education and training in ultrasound-guided IV catheter insertion to enhance their proficiency in this technique. This can improve success rates, reduce patient discomfort, and minimize complications associated with unsuccessful cannulation attempts. Additionally, nurses should familiarize themselves with the available vein visualization technology and incorporate it into their practice to optimize IV access.
Furthermore, nurses should consider alternative sites for IV catheter insertion, such as the forearm or hand, based on patient-specific factors. This approach can potentially increase the success rate of first-attempt cannulation and improve patient satisfaction. It is imperative for nurses to regularly review updated evidence and guidelines to inform their practices.
Lastly, implementation of insertion bundles is crucial in minimizing the risk of CRBSIs. Nurses should ensure adherence to all elements of insertion bundles, including hand hygiene, aseptic technique, and appropriate catheter securement, to reduce healthcare-associated infections and enhance patient safety.
Conclusion:
Evidence-based practice in IV catheter insertion techniques plays a significant role in promoting safe and effective patient care. The literature highlights the importance of ultrasound guidance, vein visualization technology, alternative insertion sites, and implementation of insertion bundles. By incorporating these practices into nursing care, healthcare professionals can optimize patient outcomes and improve patient satisfaction. Nurses must stay informed of current evidence and guidelines to continue providing evidence-based care and ensure the best possible outcomes for their patients.