Oh, Jong Hee MS, RN, CNL, CRNI, VA-BC; Shelly, Mark MD; Nersinger, Sharon MS, RN, NEA-BC; Cai, Xueya PhD; Olsan, Tobie PhD, RN, NEA-BC, CNL, FNAP
A community hospital policy of routinely replacing peripheral intravenous catheters (PIVCs) needed updating to clinically indicated replacement. Guided by Lean principles, a clinical nurse leader led a QI small test of change on a 38-bed medical unit. Nurses managed 469 inpatients, receiving 1033 PIVCs. Routine PIVC replacement declined from 34% to 3% (P < .001). PIVC dwell time ranged from 4 to 20 days and did not increase phlebitis (P = .41) or catheter-related bloodstream infections. Clinically-indicated PIVC replacement reduced unnecessary catheter insertions, maintained patient safety, and improved efficiency. Learn about this project in the video and article.