Research

Express Learning Breakout

(H4) Developing a Registry to Improve the Outcomes of Patients with a CVAD Diagnosed with Cancer

Presenter(s)

• 

  Nicole Gavin, BSc(Hons)AdultNursing;MasterofAdvancedPractice(HealthCareResearch);PhD

  Nurse Researcher
  Royal Brisbane & Women's Hospital

  Angiodynamics () : Grant/Research Support

This presentation will demonstrate the importance of collecting data about CVAD insertion and removal as well as any complications during the dwell in order to improve CVAD complications and patient outcomes. To date, our CVAD Registry contains over 750 patients diagnosed with cancer with over 1,200 CVADs. Only 45% of patients have their CVADs removed due to completed therapy. The top 5 complications at removal are suspected CVAD-related infection, accidental dislodgement, CVAD-related thrombosis, occlusion and local infection. With the knowledge of these complication, we developed a series of in-services focusing on hand hygiene, aseptic non-touch technique, site inspection, CVAD maintenance and documentation. We have showed an improvement in practice by using the date held in the CVAD Registry as well as independently collected data from Infection Monitoring and Prevention Service.

Learning Objectives:

• Discover the importance of collecting CVAD data systematically.
• Identify the need for data to be able understand local clinical problems.
• Recognize that baseline data is required to see improvements in practice and patient outcomes.
• Appraise the quality of bedside documentation and its requirement to make CVAD improvements.
• Utilize existing data collected by Infection Control and Safety and Quality to improve patient and CVAD outcomes.