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Central Venous Access Device Outcomes in a Homecare Agency: A 7-Year Study

Gorski, Lisa A. RN, MS, CS, CRNI

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Homecare agencies must collect, analyze, and report patient outcomes. Despite a critical need for data related to the incidence of infections and other complications related to central venous access devices (CVADs) among patients receiving homecare, this information currently is underreported and inconsistently collected by homecare agencies. Obstacles to data collection and analysis have been noted including inadequate information systems, underdeveloped infection control programs, and the lack of a universally accepted definition of a homecare infection. This descriptive survey reports 7 years of CVAD outcomes in a large, urban homecare agency. The data collection processes and definitions used in this survey are described. The reported outcomes include a relatively low incidence of CVAD-related infections, occlusions, and other complications. Demographic data, including types of home infusion therapies provided and patient self-care outcomes, also are described.

Lisa Gorski has worked as a Clinical Nurse Specialist in homecare for more than 17 years. She has published numerous journal articles and 2 books on home infusion therapy. She received the 2000 INS Outstanding Abstract Presentation award for presenting CVAD Outcomes in Home Care: A Four-Year Study and in 2003 was honored with the CRNI of the Year Award.

The author has disclosed that she has no significant relationship with or financial interest in any commercial companies pertaining to this educational activity.

Address correspondence to: Lisa A. Gorski, 9688 W. Appleton Avenue, Milwaukee, WI 53225 (e-mail: ml_gorski@msn.com).

© Copyright 2004 by the Infusion Nurses Society