Clinically indicated replacement of peripheral vascular catheters: is it safe for patients?

Br J Nurs. 2020 Apr 23;29(8):S4-S10. doi: 10.12968/bjon.2020.29.8.S4.

Abstract

Replacing peripheral vascular catheters when clinically indicated rather than routinely has multiple benefits for patients and practitioners. Managing vascular catheters based on clinical indication provides early opportunities for intervention, or catheter removal or replacement. Where clinically indicated, peripheral vascular catheters can be used for a long time, and this is aided by decision-making tools such as the visual infusion phlebitis score and care bundles. Fewer cannulations result in less pain, better patient comfort and a lower risk of infection. For each cannulation avoided, about 20 minutes can be saved for other care activities. Replacing peripheral vascular catheters according to clinical indication can improve patient safety and optimise resource use.

Keywords: Audit; Care bundle; Catheterisation; Peripheral catheter; Replacement; Vascular catheter; Visual infusion phlebitis.

MeSH terms

  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / instrumentation*
  • Device Removal / standards*
  • Humans
  • Patient Safety*
  • Practice Guidelines as Topic
  • Time Factors