Most hospitals are likely to require IV lines to be changed every three or four days involving patients contrary to Infusion Nursing Society (INS) Standards of Practice and Centers for Disease Control guidelines, but a regional hospital team is attempting to change this embedded practice. Society Team Member and Senior Infection Control Officer Michelle DeVries (center), MPH, CIC at Methodist Hospitals, along with colleagues Patricia Mancos (right), BS, SM (ASCP), CIC and Mary Jo Valentine, RN MSN, CNS, are encouraging hospitals to embrace INS standards and CDC guidelines released in 2011. These standards state that IV lines need no longer to be changed every 76 to 92 hours, except in case of “clinical need.” In an article published in the July Journal of the Association for Vascular Access (JAVA), DeVries and her team cited their research conducted during 2014 that show a reduction in up to 75% of bloodstream infections in patients when lines were no longer routinely changed. DeVries speaks across the country urging that this long established practice give way to better patient care in which IV lines are protected and allowed to remain in patients unless there is a clinical need for a change. “Evidence based research shows there are fewer infections, less damage to vessels, and improved patient outcomes,” DeVries said. This latest research grew out of a project in which the team conducted research that showed the use of a device called the SwabCap Disinfection Cap reduced overall infections by 45% for all IV catheters on patients.
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