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Routine Versus Clinically Indicated Short Peripheral Catheter Replacement

An Evidence-based Practice Project

Stevens, Catherine DNP, NEA-BC, RN; Milner, Kerry A. DNSc, RN; Trudeau, Jennifer PhD

doi: 10.1097/NAN.0000000000000281
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Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1.9% to 3.5%, and SPC use decreased by 14.2%, resulting in estimated cost savings of $2100 and 70 hours of nursing time saved. The translation of evidence on timing of SPC replacement into practice was a success.

Hartford Healthcare Corporation, Meriden, Connecticut (Dr Stevens); Sacred Heart University, College of Nursing, Fairfield, Connecticut (Dr Milner); and Sacred Heart University, College of Business, Fairfield, Connecticut (Dr Trudeau).

Catherine Stevens, DNP, NEA-BC, RN, is vice president of patient care services at Hartford Healthcare Corporation in Meriden, Connecticut.

Kerry A. Milner, DNSc, RN, is an associate professor in the College of Nursing at Sacred Heart University in Fairfield, Connecticut.

Jennifer Trudeau, PhD, is an assistant professor in the College of Business at Sacred Heart University in Fairfield, Connecticut.

Corresponding Author: Kerry A. Milner, DNSc, RN, Sacred Heart University, 5151 Park Avenue, Fairfield, CT (milnerk@sacredheart.edu).

The authors of this article have no conflicts of interest to disclose.

© Copyright 2018 by Infusion Nurses Society