中心静脉-PICC-化疗性静脉炎-肿瘤-.ppt

* * how do you choose which VAD is the most appropriate for the intended therapy? 2 * * * 4 this is the traditional way of practice vein sites are wasted patient satisfaction is poor patients needs are not met inconsistent patient outcomes material and labour costs are wasted - high nursing labour care maps/ clinical pathways do not address vascular access needs therapy may be interrupted early discharge is not facilitated has anyone been asked to try and try again - next shift , tomorrow * 4 due to drug pH, osmolarity or chemical structure, the dwell time of the peripheral IV may be only 24 - 48 hours what is your restart policy? Do all IV’s last 72 hr? complications may include: chemical phlebitis infiltration extravasation thrombosis complications may require treatment treatment takes time and has a cost associated with it patient satisfaction is poor and needs are not met inconsistent outcomes - have you ever had missed doses due to lack of access? Therapy may be interrupted Material and labour costs are high early discharge is not facilitated care maps / clinical pathways do not address vascular access has anyone been asked to try and try again - next shift, tomorrow community - called back after a scheduled visit * 5 re-engineered practice patient is assessed upon admission or within a set time frame veins are preserved patient / family sataisfaction is increased - patient focused care maps are followed decrease in complications / interruptions in therapy cost savings in labour / material usage - cost efficient - labour saved can facilitate early discharge planning * 2 early patient assessment, education and cost reduction program in simple terms: 1 device to meet the needs of the patient least risk of complication achieve the best outcomes realize a cost savings a great business plan! WIN- WIN situation for all * 28 The theory sounds good but how do you implement such a change in practice? Review the process and the tools that