intravascular devices inserted into peripheral veins
peripheral intravenous cannula (PIVC)
peripheral arterial devices
central venous catheters
peripherally inserted central catheters (PICC lines).
These devices allow the easy administration of fluids, blood products and medications; and can permit monitoring of haemodynamic function, dialysis and collecting of blood specimens.
Vascular access devices can provide the route for healthcare associated infection, in particular, local infection or blood stream infections. Blood stream infections are an important cause of mortality, morbidity and prolonged hospitalisation.
Risk of infection is increased with prolonged duration of peripheral intravascular catheters.
central venous catheters (including PICC lines) should be inserted using maximum barrier precautions
decontaminate the insertion site using an appropriate skin disinfectant such as alcohol-based preparations containing 70% isopropyl alcohol v/v and at least 0.5% chlorhexidine. Allow to dry prior to insertion
in most circumstances, chlorhexidine-impregnated sponge (central lines), and sterile gauze or transparent semi-transparent dressing, should be used to cover the insertion site
document the patient’s records, insertion details and any complications.
Another type of device that
may be necessary while you are in hospital is a Peripherally Intravenous
Cannula (PIVC), also known as an intravenous (IV) drip. For further information
how the patient/carer can help minimise the risk of infection in their IV drip
while in hospital, please read the following consumer information:
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