Iv Intervention Paper

Intravenous fluid therapy has been used for almost 200 years and remains a fundamental part of hospital patient care. There is always danger involved with prescribing and giving people iv fluids. The wrong administration of IV fluids such as the incorrect volume or the incorrect type of fluid could result in serious complications. Peripheral Intravenous Catheters (PIVCs) are a tool in the delivery of patient care. PIVCs enable people to have therapies such as medications, fluids and nutrition to reach patients quickly and effectively through the bloodstream.

Admissions in general acute hospitals for patients over the age of 65 is 38% with 60% of those patients ending up on a medical surgical unit (Boltz, 2013). The number of restrained patients within this age range varies from 13-27% for medical surgical or non behavioral restraints, this number can significantly decrease based on alternative interventions attempted prior to restraint application with the number of restrained days varying from 3 to 123 out of every 1000 days (Enns et al., 2014). Reasons for non behavioral restraints are when a patient is; pulling at lines/tubes, removal of equipment/dressing, inability to respond to direct requests/follow instructions, intubation, or falls/risk of injury/keeping patients safe. A typical hospital

The General Accounting Office and the Health Human Services Office of Inspector General both have noted the lack of known data related to the use of these practices (Joint Commission on the Accreditation of Healthcare Organization [JCAHO], 2004). Research has revealed that the use of restraints varies dramatically from facility to facility with a wide range of facility and staff knowledge on how to prevent and avoid such use. According to Castle and Mor (1998), there are a growing number of stakeholders that have developed guidelines for restraints use and the quality of these guidelines have yet to be determined and their widespread application

My daughter was alive and well last week, and we watched her deteriorate in a hospital bed. Near the end, they were strapping her down and she was screaming and yowling as we tried to put her on an IV. It was horrific.”

Conducted over a 108-day span at the Hospital Clinico ‘San Carlos,’ a university hospital in Madrid, Spain, this randomized controlled trial evaluated both open and closed safety PIVCs, replacing the PIVC only as clinically indicated. Qualifying patients were 18 years of age or older, had a clinically planned PIVC (non-emergent), no other peripheral or central lines, and a temperature less than 38C. The sample included 1200 catheters to eliminate possible effects of IV insertion learning curves. Random computer selection generated the sample group into closed-system (COS) PIVCs and those with open-system (MOS) PIVCs. (Lopez et al., 2014)

Peripheral IV catheterization is a painful and potentially anxiety-provoking procedure for the patients. The interventions to reduce the pain caused by venipuncture were explored in the past decades (Oman, 2014). The majority of the studies reviewed in this summary included one level 1 evidence of meta-analyses (Oman, 2014), three level 2 evidences of randomized controlled trials (Beck, 2011; Deguzman, 2012; Kahre, 2011) and one level 3 evidence of controlled trials without randomization (Levitt , 2013). Many studies have demonstrated that 1% lidocaine intradermal injection before IV insertion can reduce the pain significantly (Oman, 2014). Kahre and his colleagues’ study indicated bacteriostatic normal saline (BNS) group had lower pain score

Two priorities for patient education are safety and pain management. For safety, she needs to understand that she is NPO, which means she cannot have anything by mouth, including foods, drinks, or medications. She also needs to understand that she is not supposed to pull out her foley catheter.

Nursing is an all encompassing profession in which practitioners are not only proficient in technical medical functionality, they also have the obligation to remain compassionate and respectful of patients and as such are expected to adhere to pre established codes of ethics. Of these ethics, autonomy is of extreme importance as it offers patients a sense of personal authority during a time where they may feel as if their lives, or at the very least their health, is no longer under their control. Autonomy in the context of nursing allocates the patient and often their family with the final word on the course of treatment. The concept of patient autonomy is a highly variable subject in all fields of health care. It is a universal concept that varies widely in its meaning and interpretation. Autonomy in its simplest form can be defined as a state of independence or self governing (Atkins, 2006). Patient autonomy can also be defined as the ability to make once own decisions, based on one’s sound judgment. It is defined by the American Nurses Association (ANA, 2011) as the "agreement to respect another 's right to self determine a course of action; support of independent decision making." This seemingly straight forward ethical concept is rife with difficulties when one considers potential disagreements that may arise even when informed consent is provided, particularly among children or vulnerable people. Relevant research and

Thanks for choosing to tackle an important ethical dilemma with such serious consequences and ramifications for both, the parents or legal guardians as well as the underage patient. I appreciated the background and the framework you provided as far as the funding availability for the provision of care to this minor, which has a significant impact independent of values and beliefs. Your respect for patient's rights, confidentiality, and well-being independent of your personal beliefs is admirable. That is a quality that I hold dear when providing patient care and expect to refine further in order to best serve my patients in a manner that is unbiased, ethical, and free of personal influences.

Restraints limit a patient’s movement. This brings up many ethical debates and issues. There are certain guidelines that should be followed when it comes to using restraints. It is important to know the different kinds of restraints, how to apply a physical restraint properly and how to administer a chemical restraint safely. It is important to consider alternatives as the use of restraints can present risk and negative outcomes.

As a medical billing and coding manager, It's not my responsibility to do anything with an IV, instead I would call the doctor or nurse immediately to help the patient to flush out the drug in her system as soon as possible in anyways.

Peripheral I.V. rotation and care may differ from facility to facility. Although across the nursing community peripheral intravenous catheters are replaced every few days, they will be changed even if the vein is patent. If the site does not show signs of infection or phlebitis, it is protocol to change the site. Evidence-based practice says that there is no need to change the site routinely, instead the site should remain intact and changed only upon need such as inflammation, irritation, or lack of patency. Not changing the I.V. routinely gives comfort to the ill patient, while it also saves money for the hospital.

One of the most vulnerable populations within the healthcare setting include pediatrics. Due to undeveloped immune systems as well as underdeveloped body systems, the pediatric population deals with unique challenges in comparison with, perhaps, the adult population. As pediatrics have an increased risk for infection, one important safety concern in the hospital setting includes central line associated infections. A central line-associated bloodstream infection must be confirmed by a laboratory as a primary infection in which the catheter was in place for greater than 2 days and the line was also secured on the day of or the day before the event (Centers for Disease Control and Prevention, 2016). When pediatric patient’s experience central

The baseline data was collected for two weeks from October 1st to October 14th. The average amount of water consumed per day was 26.7 ounces. According to this average, the subject only drank approximately 38% of the target amount of 72 ounces of water, which is very low. The trend, or slope, of the baseline data may seem to show an increasing trend in water consumption, but this may be because there is one outlier, 48 ounces, that effects the rest of the data. Without the outlier, there seems to be no overall trend in the data. There is some variability in the data, but once again, this may be influenced by the outlier in the baseline data.

I feel that restraints should be used as a last resort and for minimal time possible due to the emotions the patients feel and what it puts them through. Most importantly, the implications of restraints can cause patients to experience loss of muscle strength, pressure ulcers, and strangulations to name a few (Demir, 2007). Through evidence based practice literature, it is becoming crucially important that nurses and other health care professionals utilize physical restraints in a safe and ethical manner. When restraints need to be utilized, they must be for temporary use until the patient is coherent or until the IV or tubes get discontinued.