Patent Intravenous (IV) line

One issue within the nursing profession relates to the multiple attempts by nurses to insert a patent intravenous (IV) line. A specific example is a patient who had required a large-bore needle because they needed to receive a blood transfusion.

This patient had received a total of 6 sticks; All attempts were unsuccessful. The issue is the increased number of unsuccessful peripheral intravenous insertion attempts.

To address the issue, a Population, Intervention, Comparison, Outcomes, and Time (PICOT) question must be completed (Echevarria & Walker, 2015). In this specific scenario, we are focusing on elderly patients above 65 on a medical-surgical floor. This particular population tends to have fragile veins that quickly blow out.

An intervention can be using an ultrasound-guided machine to identify the location of veins. The comparison intervention will be using no device (Echevarria & Walker, 2015). The outcome is the number of needle sticks required for a successful patent IV site. Time would be the length of time at the hospital (Echevarria & Walker, 2015).

The PICOT question format would be as follows. In patients older than 65 on the medical-surgical unit, how does using an ultrasound-guided IV catheter compared to using no device affect the number of attempts to insert a peripheral IV site within the time frame at the hospital?

Addressing this problem via nursing research can improve patient outcomes. The research will inform nurses if using ultrasonography will decrease the number of unsuccessful sticks. Unsuccessful attempts at intravenous catheters can increase pain and delay treatment (Sengul & Acaroğlu, 2021).

One research study found that ultrasound-guided peripheral intravenous catheter (PIVC) had a short duration for the procedure, lowered pain during the process, and increased satisfaction.

However, the article further articulated that there was no significant difference between the number and rates of successful attempts between ultrasound-guided PIVC and traditional methods (Sengul & Acaroğlu, 2021).

It was also reported that all nurses working at the facility had at least five years of experience which may have affected the success rates of the interventions. In the end, it was recommended to use ultrasound to guide PIVC because it decreased the time of the procedure and had a high satisfaction rating (Sengul & Acaroğlu, 202

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