Kaitlin Paine BSN, RN, CPN , Shannon Engstrand MPH , Mary Poyner-Reed PhD, ANP, CNRN, NEA-BC
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引用次数: 0
Abstract
Background
Long-term apheresis patients require totally implantable vascular access devices (TIVADs) for treatments. In practice, TIVADs are replaced within 3 to 5 years.
Purpose
This quality improvement initiative aimed to investigate the current state of practice of TIVAD access and management in apheresis units across the United States.
Methods
Utilizing an electronic survey, institutions were asked questions focused on areas that may affect the patency and lifespan of TIVADs.
Findings
Of the 20 institutions who responded, 19 (95%) perform red blood cell exchanges (RBCXs) and 9 (45%) perform low-density lipoprotein (LDL) apheresis. The double-lumen vortex port is preferred for RBCX (n = 11, 58%). For LDL apheresis, 44% (n = 4) prefer arteriovenous fistula, and 33% (n = 3) the PowerFlow Port.
Discussion
There is variability in the care and maintenance of ports and no standard of care for maintaining TIVADs. A standard of care should be established to improve patient experience and outcomes.
期刊介绍：
The Journal of Radiology Nursing promotes the highest quality patient care in the diagnostic and therapeutic imaging environments. The content is intended to show radiology nurses how to practice with compassion, competence, and commitment, not only to patients but also to the profession of nursing as a whole. The journal goals mirror those of the Association for Radiologic & Imaging Nursing: to provide, promote, maintain , and continuously improve patient care through education, standards, professional growth, and collaboration with other health care provides.
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