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Citrio has removed ask2/2/2024 ![]() Replace with a new PIVC if ongoing vascular access is required. If the patient is discharged from hospital, explain what signs they should look out for after the PIVC is removed and who they should contact if signs of infection develop. Observe the insertion site for 48 hours after the PIVC is removed for signs of post-infusion pain, redness or swelling. Replacing a PIVC based on clinical indication can be cost saving and may reduce the discomfort for patients associated with regular replacement.ĭocument the reason for removal of the PIVC and the condition of the site. This option is informed by a systematic review, first published in 2011 and updated most recently in 2015, which concluded that rates of bloodstream infection and thrombophlebitis were not significantly different when PIVCs were changed based on clinical indication rather than routinely replaced. Surveillance of PIVC-related bloodstream infection performed at the facilityĬomprehensive documentation of insertion, maintenance and removal of PIVCs (audit results demonstrate a sustained compliance with daily PIVC assessment documentation)Ĭompliance with competency requirements for insertion and management. Option 2: Replace a PIVC based on clinical indicationĪ strategy of replacing a PIVC when a clinical indication for replacement is identified (rather than routinely at 72 hours) may be considered only when there is: This practice is based on observational studies that show an increased risk of bloodstream infection with PIVCs left in place for more than 72 hours. In considering the above factors, healthcare facilities may routinely follow one of the following two options: The need for robust documentation and reporting processes on device insertion, maintenance and removal that is supported by the results of audits. The quality of PIVC surveillance in the healthcare facility, including surveillance of regular inspection of the site and device, and of PIVC-related Staphylococcus aureus bacteraemia (SAB) The availability of staff appropriately trained in the insertion, monitoring, assessment and maintenance of PIVCs on each shift Policies on the replacement of PIVCs should be based on a formal risk assessment that takes into account: ![]() īox 6: Recommendations for replacement of PIVCs – from the Australian Guidelines for the Prevention and Control of Infection in Healthcareĭo not routinely replace PIVCs in neonates and children.įor adults, there are two options for the replacement of PIVCs. Resistance when flushing or absence of blood return.Įnsure removal and replacement of PIVCs is in accordance with the current version of the Australian Guidelines for the Prevention and Control of Infection in Healthcare (see Box 6). ![]()
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