What is it about?
Between March 2007 and June 2009, 760 vascular access devices were placed by the three nurse-led central venous catheter placement services. Hospital A inserted 520 catheters; Hospital C with 164; and Hospital B with 76. Over the study period, insertion outcomes were favourable with only 1 pneumothorax (1%), 1 arterial puncture (1%) and 1 CLAB (1%) being recorded across the three groups. The CLAB rate was lower in comparison to the aggregated CLAB data set [1.3 per 1000 catheters (95% CI = 0.03–7.3) vs. 7.2 per 1000 catheters (95% CI = 5.9–8.7)].
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Why is it important?
This study has demonstrated safe patient outcomes with nurse led CVC insertion as compared with published data. Nurses who are formally trained and credentialed to insert CVCs can improve organisational efficiencies. This study adds to emerging data that developing clinical roles that focus on skills, procedural volume and competency can be a viable option in health care facilities.
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This page is a summary of: Nurse-led central venous catheter insertion—Procedural characteristics and outcomes of three intensive care based catheter placement services, International Journal of Nursing Studies, February 2012, Elsevier,
DOI: 10.1016/j.ijnurstu.2011.08.011.
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