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Evaluation of the Use of Open Versus Closed Short Peripheral Catheters on Catheter Dwell Time

Penoyer, Daleen PhD, RN, CCRP; Fowler, Susan PhD, RN, CNRN; Bennett, Melody MSN, RN, CCRN

doi: 10.1097/NAN.0000000000000345
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Short peripheral catheters (SPCs) vary by design and materials. The investigators conducted a before-and-after study comparing catheter dwell time and complications with open and closed system SPCs. Many SPCs in the study were saline locks. Results showed that the closed system SPCs had a significantly longer dwell time than open system SPCs. Complications overall were few and not different between groups. Nurse survey ratings were more positive for reduced blood spillage and materials with the closed system SPC but favored the open system SPC for ease of use when handling the catheter and venipuncture. The most common reason for discontinuing the catheter was for patient discharge.

Center for Nursing Research and Advanced Nursing Practice, Orlando Health, Orlando, Florida (Drs Penoyer and Fowler and Ms Bennett).

Daleen Penoyer, PhD, RN, CCRP, is the director for the Center for Nursing Research and Advanced Nursing Practice at Orlando Health.

Susan Fowler, PhD, RN, CNRN, is a nurse scientist at the Center for Nursing Research and Advanced Nursing Practice at Orlando Health. Dr Fowler is also a contributing faculty member at Walden University and a mentor at Thomas Edison State University.

Melody Bennett, MSN, RN, CCRN, is a clinical research coordinator at the Center for Nursing Research and Advanced Nursing Practice at Orlando Health.

Corresponding Author: Daleen Penoyer, PhD, RN, CCRP, Center for Nursing Research and Advanced Nursing Practice, Orlando Health, 1404 Kuhl Avenue, MP 161, Medical Affairs Building, Orlando, FL 32806 (daleen.penoyer@orlandohealth.com).

Dr Penoyer has received grant funding for this study from Becton Dickinson, Inc. Dr Fowler and Ms Bennett have no conflicts of interest to disclose.

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