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Journal of intravenous nursing : the official publication of the Intravenous Nurses Society最新文献

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Success rates for peripheral i.v. insertion in a children's hospital. Financial implications. 儿童医院外周静脉滴注的成功率。金融的影响。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-05-01
A M Frey
{"title":"Success rates for peripheral i.v. insertion in a children's hospital. Financial implications.","authors":"A M Frey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although many publications have demonstrated the cost-effectiveness of using i.v. nurse specialists with adult patients, very few have explored this topic in the pediatric population. Many agencies choose to use staff RNs and physicians, with minimal training and experience, to place i.v.s in both pediatric and adult patients. This article demonstrates i.v. insertion success rates for various healthcare providers: staff RNs, physicians, and an i.v. nurse specialist in an urban pediatric hospital. The number of unsuccessful i.v. attempts for each group is calculated and further applied to costs of labor and equipment. From the data presented in this article, it may be concluded that the use of one or more i.v. specialist nurses for placement of peripheral i.v.s in children is more cost effective than using staff RNs or physicians for provision of this service. These data were collected while the author was the i.v. nurse clinician at St. Christopher's Hospital for Children in Philadelphia.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 3","pages":"160-5"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20570257","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}
引用次数: 0
Impact of dressing materials on central venous catheter infection rates. 敷料对中心静脉导管感染率的影响。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-05-01
K LaVoie, M Kopnick
{"title":"Impact of dressing materials on central venous catheter infection rates.","authors":"K LaVoie,&nbsp;M Kopnick","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 3","pages":"140-2"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20570258","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}
引用次数: 0
Emergency access in pediatrics. 儿科急诊
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-05-01
M F Smith
{"title":"Emergency access in pediatrics.","authors":"M F Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obtaining i.v. access in children during an emergency situation is a challenge to nurses. It is important for the infusion nurse specialist to understand which devices and sites are appropriate in different circumstances. This article addresses the access sites and devices demanded in pediatric emergency situations and offers an approach to managing the anxiety of children requiring emergency infusion care and their families.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 3","pages":"149-52"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20570259","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}
引用次数: 0
Pediatric intravenous nursing. 儿科静脉护理。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-05-01
C Wheeler
{"title":"Pediatric intravenous nursing.","authors":"C Wheeler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 3","pages":"127-8"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20570255","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}
引用次数: 0
Fluid and electrolyte balance in the pediatric patient. 小儿病人的体液和电解质平衡。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-05-01
B D Fann
{"title":"Fluid and electrolyte balance in the pediatric patient.","authors":"B D Fann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maintaining adequate fluid and electrolyte balance is an important aspect of all patient care. The intravenous nurse's skill and expertise in starting and maintaining i.v. access is extremely vital to providing adequate fluids and electrolytes. Children and infants present unique problems in the management of fluid and electrolyte balance. Differences in rate of metabolism and body surface area are just two examples of special circumstances that affect diagnosis and management. An awareness of predisposing factors, early recognition of signs and symptoms that may be indicative of a developing problem, and knowledge of medical and nursing interventions help provide safe patient care. This article presents unique aspects of caring for infants and children, reviews important electrolytes, and discusses dehydration.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 3","pages":"153-9"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20570256","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}
引用次数: 0
Complications related to intravenous midline catheter usage. A 2-year study. 静脉中线导管使用的并发症。一项为期两年的研究。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-03-01
A M Goetz, J Miller, M M Wagener, R R Muder
{"title":"Complications related to intravenous midline catheter usage. A 2-year study.","authors":"A M Goetz,&nbsp;J Miller,&nbsp;M M Wagener,&nbsp;R R Muder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The introduction of the Landmark midline catheter (Menlo, Co., CA) brought an alternative to central line catheter placement for prolonged intravenous access. The study was initiated in 1993 to observe for complications, including hypersensitivity-like reactions. The authors hypothesized this i.v. modality would decrease the need for central i.v. lines and accompanying complications. At the time of catheter insertion, the i.v. team nurses completed a survey form that included demographics, underlying disease, and risk factors for infection. The catheter tip was cultured at the time of removal. In the second phase of the study, the authors focused specifically on hypersensitivity-like reactions. During a 2-year period, 248 patients had 334 midline catheters. Patient ages ranged from 23 to 98 years (mean age, 65 years). The bacteremia rate was 0.3%; the colonization rate was 0.9%. Factors associated with infection/ colonization included: length of time in place, chemotherapy, and lack of antibiotic administration. In the second phase of the study, during which an additional 170 catheters were placed in 131 patients, no hypersensitivity-like reactions were noted. The midline catheter appears to be a safe method of i.v. fluid administration for patients with limited peripheral vein access who need extended i.v. therapy.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521336","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}
引用次数: 0
The effects of cumulative grief in the nurse. 护士累积悲伤的影响。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-03-01
P A Marino
{"title":"The effects of cumulative grief in the nurse.","authors":"P A Marino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes some of the major causes of stress for nurses and other professional care givers who work with the dying, their families, and the bereaved. It specifically addresses the stress of cumulative grief in the work situation and its effects on the care giver. It also describes some of the strategies for the institution and the individual nurse that can be used to minimize the effects of stress and cumulative grief and can contribute to emotional health in this type of work.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"101-4"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521339","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}
引用次数: 0
Home intravenous antibiotics. The safety factor. 家庭静脉注射抗生素。安全系数。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-03-01
D Hammond
{"title":"Home intravenous antibiotics. The safety factor.","authors":"D Hammond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Home intravenous antibiotic infusion now is a safe and effective alternative to patient hospital admittance. With careful guidelines to provide appropriate patient selection, education, care planning and device selection, home antibiotic infusion can reap impressive results. Patients are more satisfied when they receive i.v. antibiotic therapy in the comfort of their homes. Intravenous nurses provide the skill and expertise necessary for quality home i.v. antibiotic infusions. Home health agencies venturing into the world of home infusion will benefit from this article. These guidelines are appropriate for most types of home i.v. therapy, not merely antibiotic therapy.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"81-95"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521231","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}
引用次数: 0
Thrombotic complications in intravenous access. 静脉通路中的血栓性并发症。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-03-01
J P Smith
{"title":"Thrombotic complications in intravenous access.","authors":"J P Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thrombotic complications of intravenous access represent an entire spectrum of disorders. This article addresses the incidence and occurrence of these complications. The symptoms of thrombotic disorders of the veins are presented along with their natural history. Treatment options are discussed, and the applications of preventative measures are covered, relevant to applications in i.v. nursing.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521338","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}
引用次数: 0
Downsizing. Use intravenous clinicians to maintain quality venous access care. 裁员。使用静脉临床医生来维持高质量的静脉通路护理。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-03-01
P K Miller
{"title":"Downsizing. Use intravenous clinicians to maintain quality venous access care.","authors":"P K Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many authors demonstrate the cost effectiveness of using intravenous teams to provide quality venous access care. Despite this evidence, many hospitals are dissolving their i.v. teams as a way of cutting costs. This article provides a guide for downsizing while maintaining quality i.v. therapy. The article chronicles events before and after the disbanding of the i.v. team of the San Francisco Veteran's Administration Medical Center. The focus of the article demonstrates how creating two advanced practice positions is instrumental to maintaining quality i.v. care. Quality is defined as line-associated bacteriemia rates and compliance rates to i.v. care standards, remaining unchanged or better after the downsizing of the i.v. team. Line-associated bacteriemia rates are presented in terms of infections per 1000 line days when possible. Compliance percentages are obtained by auditing compliance to site changes, central line policy. The data are provided in chart form, and definitely show a sharp decline in line-associated bacteremias after the advent of the i.v. clinician role. These data provide clear evidence to support the Intravenous Nurses Society position on the role of the intravenous nurse specialist. Conclusions emphasize the need for i.v. nurse clinicians to provide critical care coverage, ongoing educational programs, outcome auditing, and nursing research in vascular access and i.v. therapy.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 2","pages":"105-12"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521227","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}
引用次数: 0
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