{"title":"Patient confidentiality in the electronic age.","authors":"V W Conner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents an overview of confidentiality issues as they relate to patient information stored or disseminated electronically. The three related issues of confidentiality, privacy, and security are defined, and how those issues have changed with the advent of computerization is discussed. Topic discussed are the risks versus the benefits of computerizing; threats to the organization and the patient; and the legal, organizational, and technological solutions that can and should be implemented to ensure all patient-related information is kept confidential and secure.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intravenous push medications in the home.","authors":"S M Poole, A Nowobilski-Vasilios, F Free","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The intravenous push method for drug administration is not a new idea. In an era of quality, good patient outcomes, and cost efficiency it is important to look at economical and safe methods of drug delivery. This article reviews different methods of drug delivery and compares outcomes. The focus of the study was a comparison of minibag versus i.v. push drug delivery for anti-infective self-administration in the home setting. Case reports totalling 1116 from 50 sites were analyzed. The most frequently used drugs were ceftriaxone, cefazolin, and ceftazidime. Rates for all complications were 1.89/1000 catheter days for i.v. push and 1.69/1000 days for minibag delivery method. The phlebitis rate was 0.6/1000 catheter days for i.v. push and 0.79/1000 catheter days for minibag delivery method. Client satisfaction rates were comparable for all types of drug-delivery methods.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"209-15"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do needleless intravenous systems increase the risk of infection?","authors":"M Hanchett, L Y Kung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since 1995 several studies have addressed whether needleless intravenous systems increase patient risk of bloodstream infection (BSI). At this time, conclusive evidence is lacking and all studies point to the need for additional research. Current studies indicate that there is no evidence that needleless systems increase patient risk of BSI when the products are used correctly and in conjunction with rigorous aseptic technique. However, these studies also identify variables not directly associated with the product or device that may contribute to an increased risk of BSI to the patient.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"117-21"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laboratory sampling. Does the process affect the outcome?","authors":"K Becan-McBride","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the rapidly changing healthcare environment, one of the many increasing tasks for the intravenous team is blood sampling. Laboratory test results are based on the quality of the patient's blood specimen. The preanalytic phase of laboratory testing accounts for 46% of laboratory testing errors, so it needs to be managed effectively to eliminate costly, inefficient, and sometimes life-threatening outcomes to patients. The use of quality blood collection procedures and an awareness of preanalytic errors are presented to lead to quality patient outcomes.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"137-42"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The benefits and limitations of needle protectors and needleless intravenous systems.","authors":"R Orenstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Needleless and needle protector intravenous systems have taken the place of 80% of needles used in i.v. therapy. Although these new systems are marketed as safe, many have not been widely tested and are not fail-safe. Each of the needleless i.v. systems and needle protector systems has limitations and potential benefit when applied in the appropriate circumstances. The benefits and limitations of these devices in today's healthcare market are discussed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"122-8"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A prospective study of two intravenous catheter securement techniques in a skilled nursing facility.","authors":"K Sheppard, M LeDesma, N L Morris, K O'Connor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective, controlled study was undertaken in a skilled nursing facility to determine whether a sterile catheter securement device (StatLock i.v., Venetec International, Mission Viejo, CA) would provide better intravenous therapy outcomes than a standard securement technique. The StatLock-device resulted in significantly longer average catheter dwell times (3.95 days versus 2.45 days) and significantly fewer total complications (65 versus 155). In addition, the securement device reduced the total time spent managing a vascular access device by 13.5 minutes per patient. Thus, the StatLock i.v. device improved overall clinical outcomes of i.v. therapy and the quality of care.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Undertransfusion or the prudent, cautious, and wise use of blood?","authors":"M S Kennedy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many quality assurance workers have been concerned about undertransfusion since acquired immune deficiency syndrome was first shown to be transmitted by blood transfusion. Physicians may be reluctant to order transfusions, and patients may be hesitant to receive blood therapy, even in situations meeting established guidelines for transfusion therapy. Transfusion guidelines are reviewed and compared to actual practices in a tertiary care hospital. Clinical cases between the limits set by the guidelines are examined and shown not to meet the definition of undertransfusion.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peripherally inserted central catheter placement in swine using magnet detection.","authors":"A J Gonzales, C Pestka, F Silverstein, R N Golden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Positioning a PICC in the lower half of the superior vena cava is a crucial aspect of its safety and efficacy. A magnet detection system evaluated in this animal study presents a method that allows PICC placements to be performed without fluoroscopy. Forty-four localizations were studied in six pigs. The detection system located magnet-tagged PICCs with an average error of 0.40 cm and a standard deviation of 0.29 cm. The system provided real-time information about the path and orientation of the PICC tip during difficult insertions. This study demonstrates the accuracy of this magnet location system.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 3","pages":"144-50"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21495449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professional development.","authors":"M Alexander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 2","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The nurse as rhetorician. Writing the clinically based article for professional publication.","authors":"L M Stepanski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effective communication skills are a critical component of quality nursing care. Nurses are modern-day rhetoricians who must rely on their powers of observation, interpretation, and persuasion as they provide care for patients and interact with family members and medical professionals. Clinicians have an obligation to use their rhetorical skills to communicate their knowledge to the wider medical community by publishing in nursing journals. Advice is provided to those intravenous nurse specialists who are interested in writing a clinically based article for a professional publication, such as the Journal of Intravenous Nursing.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 2","pages":"94-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}