PIV

Power Hour Breakout

(N4) Do PIVC Insertion and Maintenance Bundles Reduce Catheter-related Complications and Infection in Hospital Patients? A Systematic Review

Presenter(s)

• 

  Gillian Ray-Barruel, RN, PhD

  Senior Research Fellow
  Griffith University and QEII Jubilee Hospital

  Australasian College of Infection Prevention and Control: Grant/Research Support (Status: Terminated --- November 2018); Becton Dickinson () : Consultant, Grant/Research Support

Many hospitals are implementing PIV insertion and maintenance bundles in an attempt to reduce PIV-related complications and infection. We systematically reviewed the literature and identified 13 PIV insertion and/or maintenance bundles. We examined the core components of each bundle and the evidence for their effectiveness. Insertion bundles comprised 21 different components, and maintenance bundles comprised 22 different components. Each individual bundle comprised between two to seven items. Implementation strategies included education, audits, and feedback. Outcomes reported include reductions in bloodstream infection, phlebitis and mortality. However, wide variation currently exists among PIV bundles and further studies on standardizing bundle components are needed.

Learning Objectives:

• Understand the concept of an evidence-based bundle for PIV insertion and/or maintenance
• Identify components of the PIV insertion bundle which have demonstrated effectiveness for PIV insertion
• Describe components of the PIV maintenance bundle which have demonstrated reduction in PIV-related bloodstream infection and other adverse events
• Describe 5 effective implementation strategies for achieving sustainable practice change