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Collaborative, Innovative Quality Improvement Activity

Development of Queensland Ambulance Service Stickers

Drivers, Approaches, Implementation, and Outcomes

Ding, Mingshuang, RM, MMidwifery Res, BMidwifery; Aitchison, Stephen, RN, BN, Grad Dip Em Nsg, Grad Dip Mid; Pink, Edward, MB, ChB, FCEM, FACEM; Brown, Peter, RN, BN; Tan, Victoria Ie Ching, BSc

Advanced Emergency Nursing Journal: January/March 2019 - Volume 41 - Issue 1 - p 43–47
doi: 10.1097/TME.0000000000000228

This article discusses the implementation of 3 targeted interventions aimed at reducing infection rates in patients due to prolonged in situ intravascular catheters (IVCs) during their admission to the hospital. These IVCs are inserted by paramedics with Queensland Ambulance Service (QAS) in prehospital settings. The 3 interventions involved were the application of “QAS-IVC” stickers by QAS paramedics to indicate QAS-inserted IVCs, the implementation of mandatory IVC documentation during patient handover, and clinician engagement to provide patient education on IVC infection signs. Audits undertaken in wards reflected that the interventions were apparent and beneficial; this is evident from the limited number of patients having in-dwelling QAS-IVC and increased awareness among medical staff and patients alike. We, however, did not have comparative data to objectively quantify the success of the interventions implemented.

Emergency Department, Queen Elizabeth II Jubilee Hospital, Coopers Plains, Queensland, Australia (Ms Ding and Messrs Pink, Aitchison, and Brown); Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia (Mr Pink and Ms Tan); School of Nursing, Griffith University, Nathan, Queensland, Australia (Ms Ding); and Queensland University of Technology, Brisbane, Queensland, Australia (Ms Ding).

Corresponding Author: Victoria Ie Ching Tan, BSc, Faculty of Medicine, The University of Queensland, Brisbane 4072, QLD, Australia (

The authors thank all QE II Jubilee Hospital–Emergency Department staff who participated in designing and implementation of the QAS stickers.

Disclosure: The authors report no conflicts of interests.

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