Effectiveness of a Comprehensive Nurse-Patient Strategy in Care of Patients with PIVC and its Clinical Outcomes

Introduction: Peripheral Intra-Venous Cannulation (PIVC) is the second most common invasive procedure performed on in-patients, with an estimated 80% of patients requiring a peripheral cannula and about 69% of PIVC insertions were failed due to occlusion, infiltration, phlebitis and dislodgement. Aims: To assess the effectiveness of a comprehensive nurse-patient strategy in the care of PIVCs on clinical outcome. Materials and Method: A quasi-experimental, post-test-only design was used. 30 subjects from each groups, i.e experimental and control group, were observed for development of PIVC complications. Education was provided to nurses and patients in the experimental group regarding how to prevent the early removal of PIVCs. The obtained data were analyzed and interpreted using descriptive and inferential statistics to compare the clinical outcomes among the groups. Result: The results shows that there is significant difference was observed in duration of PIVCs. Among the experimental group, after implementation of the Nurse-Patient Strategy, 66.66% of the PIVCs stayed more than three days (72 hours) whereas in the control group it was 40%. The pain and swelling were mostly observed complications in PIVC. Conclusion: A comprehensive nurse-patient strategy has proved effective to increase the practice of flushing PIVCs, which in turn improves their indwelling period.