Vol 9 .No 1 - INS-India, Announces Launch of City Forums in India - INS India
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Vol 9 .No 1 INS- India, Announces Launch of City Forums in India
INS-India Presidential Address
Infusion Nurses Society (INS) is recognized as the global authority in infusion therapy and is dedicated to
exceeding the public's expectations of excellence by setting the standard for infusion care.
Every January 25, Infusion Nurses around the world celebrated IV Nurse's day to commemorate the genesis
of Infusion Nurses Society-US that was established in 1980. IV Nurse's Day is especially meaningful to
nursing professionals who have dedicated their lives to providing patients with the best infusion care. It
commemorates their commitment to their work and to their patients. The Day where we recognise and
appreciate our IV Nurses for their contribution in the eld of Infusion Therapy.
This year's IV Nurses Day Theme is all about “Setting the Standards” which was celebrated across
various hospitals in India. INS India is in the process of, rst standardizing infusion therapy practices across
the Country and is now setting standards to provide excellent infusion care across all healthcare settings to
ensure quality patient outcomes.
INS Awards and Recognition Program recognizes leadership, outstanding performance and innovation
which are most reective of today's infusion nurse and the infusion specialty. INS along with the industry
partners will help honor INS members who have made signicant contributions to their organizations and
the infusion specialty. These Awards will be announced at the National Conference.
Apart from this Win a Trophy for yourself and your Hospital in the most exciting BD MasterMind Quiz
and many more expert Panels and Sessions.
Grab this opportunity and Join this remarkable journey of Infusion Therapy by registering for the
Upcoming Conference 2021 (Virtual Meet) of Infusion Nurses Society- India on the 20th& 21st of March .
Col. Binu Sharma,
President, INS-India
1
ASSOCIATE PARTNER
IV Nurse's Day
25th Jan 2021
The East Region including Bangladesh has celebrated the IV Nurses Day Virtual Session and Physical
workstation on CRBSI Care Bundles
The Event was inaugurated with the appreciation words for IV Nurses By INS President Col Binu Sharma ,
Relevance of IV team and IV Nurses for the better patient outcome shared by Mrs. Aripta Mondal Chief of
Nursing Neuroscience , Presence of Mrs. Doli Biswas GC Member of INS and Mrs. Lakshmi Bhattacharya
Director of Nursing Apollo Hospital Kolkata have kept the excitement of Celebration High and also conducted
competition on Best Innovative Ideas to Implement care bundles. A Very Informative Virtual Session on CRBSI
overview was taken by Ms. Shahjadi Loskar , President Critical Care Nursing Society Dhaka and Care bundles
components by Mrs. Junie Xaviour Nursing Superintendent apollo Hospital Followed by physical participation
Workstation on Care in bundles demonstrated by Fortis Kolkata, CK Birla Kolkata, Utkal Hospital
Bhubneshwar, and Apollo Gleneagles hospital Kolkata. Where around 250 Nurses have participated across the
region.
The Competition on Best ideas to implement care bundles bought additional piece of excitement where many
hospital shared the CRBSI Care bundle implementation where Apollo Gleneagles Hospital Kolkata secured the
First Prize to implement the most intervention of car bundle adherence.
5
Other Hospitals that celebrated IV Nurses Day 2021:
Fortis Anandapur, Kolkata celebrated IV Nurses Day with Lamp Lighting, Virtual Address by Col. Binu
Sharma ,Quiz Competition and Hands on workshop sessions. Other hospitals such as Apollo, INK, Ruby
General Peerless, Fortis Kidney Institute also participated in the event.
We also had a large number of Hospitals across the country who celebrated this day with a great
participation.
Infusion Nurse's Day celebration in Mumbai. So far we have had knowledge and fun lled programs at
Fortis Vashi, Fortis Mulund, Holy Family Bandra Hospitals. Many more programs are planned in the
coming week. These programs consisted of review of Infusion Standards, Quizzes, Tests, Puzzles, Hands
on practice stations and encouraging words by Hospital Leadership
INS-India, appreciates the efforts taken by each and every Nursing Professional to make IV Nurses Day
2021 a remarkable one.
6
STANDARIZATION OF IV CANNULATION PROCEDURE- A CHALLENGE
Ms Loma Waghmare, Ex- Grade I (Nursing Education), Ruby Hall Clinic-Pune
INTRODUCTION:
Peripheral cannulation provides access for the purpose of intravenous (IV) hydration or feeding and the
administration of medication. A peripheral cannula is a exible tube containing a needle (style), which may
be inserted into a peripheral vein, usually those in the lower arm including metacarpal, cephalic and basilic
vein. Cannulae may also be inserted in the veins of the lower extremities.
Peripheral cannulation is simple procedure, but it tests the skill and the experience of nursing personnel. It is
evidenced that specialised training, handling the peripheral catheters lead to reduce the risk of infection and
rate of thrombophlebitis. Infusion experts provide good skilful insertion of IV cannula and maintenance.
NEED OF THE STUDY:
IV cannulation is the commonest and rst invasive procedure among hospitalised patients. It is however
associated with risk and complications that can delay the prognosis and have an adverse impact on the
clinical outcome.
In our institute trained nurses perform the procedure of peripheral cannulation. Improper insertion and
maintenance of peripheral cannula can cause grave consequences of extravasation and inltration. This in
turn will affect the patient physical, psychological and nancial well being. It will also reect on the
condence and reputation of the unit. Therefore accuracy in the insertion of the peripheral cannulation is
vital.
PROBLEM STATEMENT:
A study to assess the effectiveness of hands-on-training in peripheral cannulation among the nurse in a
tertiary care hospital.
OBJECTIVES:
1. To assess the effectiveness of the hand- on- training in peripheral cannulation
2. To identify the common errors in the procedure occurs and take corrective action.
7
RESEARCH METHODOLOGY:
Research Approach: Quantitative research
Setting: Ruby Hall Clinic Pune-01, General Ward
Sample Size:
Phase one: 59 (49 were assessed)
Phase two: 23
Inclusive Criteria: All nurses in general ward who were given hands- on training
Exclusive Criteria: During the assessment of the procedure, unit in-charges and the nurses shifted to
critical care were excluded.
RESULTS:
The analysis of the training assessment of the procedure of peripheral cannulation showed that the overall
compliance to the procedure was 88.9%
The area where compliance was lacking were
a. Flushes the cannula using push- pause technique with 63.2%
b. Cleans the area with disinfectant solution in circular motion with 44.8%
c. Lowers the angle of the cannula with 42.85%
d. Inserts the cannula into the vein at 15 to 30 degree angle & Checks for rst ashback, conrms it &
Inserts further and withdraws stillette slightly for second ashback; conrms it with 10.2% each
e. Keeps drape under the site of insertion & Positions the site, ties the tourniquet and wears gloves with
4.08% each
PERCENTAGE OF NON COMPLIANCE IN PHASE 1
63.2
70 44.8 42.85
60
50
40
2.04 4.08 4.08 10.2 10.2 8.16
% PERCENTAGE
30 10.2
20
10
0
CLEANING OF THE SITE IN
ANGLE OF INSERTON (15-
INSERTION WITH PUSH-
USE OF DRAPE
LOWERING ANGLE
CONFIRMS 2ND FLASH
FLUSHING- PUSH PAUSE
PROCEDURE EXPALATION
CHECK 1 ST FLASH BACK
GLOVING
PULL TECHNIQUE
TECHNIQUE
CIRCULAR
BACK
30 )
Fig 01: Percentage of non compliance in phase 1
8
The result of the re- demonstration training showed improvement with an overall compliance of 96.85%
with an improvement in the gaps analysed in phase one
The areas where improvement is needed were the following
a. Cleans the area with disinfectant solution in circular motion 34.78%
b. Flushes the cannula using push- pause technique with 8.6%
c. Checks for rst ashback, conrms it ; writes the date and time of insertion, at the site & disposes
waste in appropriate containers with4.38% each
Fig 01: Percentage of non compliance in phase 1
CLINICAL IMPICATIONS:
NURSING PRACTICE:
- Regular periodic on the job demonstration and re demonstrations should be
conducted.
- Instilling condence in the staff nurses thus improving the skills in performing the
procedure.
ADMINISTRATION:
- Regular supervision and auditing should be conducted to nd the area of non
compliance.
RESEARCH:
- The study can be performed at a large scale.
- Study can be performed more precisely taking in consideration the years of
experience of the staff nurse.
BIBLIOGRAPHY/ REFERENCE:
1. Nursing Standard, learning zone, continuing professional development, peripheral cannulation,
sept 3::vol 22 no52:: 2018
2. Indian Journal of Holistic Nursing, Volume 9, Issue 1-2018, Pg No. 1-4
3. Pankaj Punjot, e.tal, A study to assess the effectiveness of infusion experts on the nursing
interventions of peripheral intraocular devices among patients admitted to a tertiary care hospital of a
city, International Journal of Nursing Research, 2018, 4(3):- 171-175
9Economic impact of Advanced IV Kit on VAD securement in Hospital Settings: A
quality improvement project
Ms Jermin Roshini-CNO, Ms Jayashree-ICN, Ms Dallie- Nursing Educator (Fortis Cunningham Hospital)
ABSTRACT: Hospitals are intended to heal the sick, but they are also sources of infection.
Intravenous administration of uids, drugs, and nutrition is very common in hospitals. Although insertion of
peripheral and central cannulae and subsequent IV therapy are usually well tolerated, complications that prolong
hospitalization, and in some cases cause death, can arise on occasions.
This article seeks to review this area and to outline good medical practice, their success depends on such aspects as
careful training in reducing the complication and better patient care.
AIM statement:
To improve the compliance in IV Cannulation and to reduce Complication like PLABSI by implementing Advanced
IV kit and PLABSI bundle in Vascular Access Devices.
Background:
Despite of having structure VAD Protocols, Noncompliance in practices have been observed among health care
workers due to lack of product availability at the insertion time, lack of awareness and compliance. In order to
improve knowledge level and to motivate health care workers to adhere to Best practices and thereby to reduce
PLABSI by implementing innovative and best practices.
Method:
Ÿ Implementation of Advanced IV Kit in all departments
Ÿ PLABSI Bundle.
Ÿ Pre and Post Audit
Audit ndings Pre and post analysis: Analysis of Quality Improvement project was done for a year 2016 April
–March 2017(VIP SCORE 2 , 3 –Average of 7-8 numbers in a month ) and after implementation of Advanced IV Kit
and PLABSI bundle post analysis from April 2017 –March 2018 (VIP SCORE 2 , 3 –Average of 1-2 numbers in a
month.
Results:
Ø Retraining conducted to all health care workers special interests and involvement shown by Nurses. Created
interest and involvement by adopting different teaching methods like group activities & demonstrations.
Celebrated IV Nurses Day to bring awareness and emphasize on importance IV Therapy and complications.
Gradual improvement has been observed in reduction of PLABSI and we are trying to sustain the results by
continuing vigorous and meticulous surveillance activities by the team.
CONCLUSION:
Ø Health care workers demonstrated sound understanding of reduction in IV complication and were able to witness
the excellent compliance in accessing the VAD with better outcome.
10Infusion Nurses Society-India City Forums 2020
INS India is formed by a group of like-minded healthcare professionals seeking to standardize infusion therapy
practices across the Country. INS is in process of exploring new frontiers and setting standards to provide
excellent infusion care across all healthcare practice settings.
INS-India is happy to announce that we had a great number of City Forums conducted in 2020 across the
country. We had the Launch of Gujarat Chapter, East Region (Kolkata)City Chapter, Bhubaneswar City
Chapter, North Region, South Region City Chapters (Bangalore & Hyderabad) and West Region (Pune &
Mumbai) Skill Based Workshops which was a great success with the help our INS Governing Council &
Managing Council Members of every region and coordinated well by our Industry Partners 3M India Pvt Ltd,
BD India Pvt Ltd and Academic Partners Polymedicure Pvt Ltd.
11EDITORIAL BOARD
Shubhada Sakurikar Doli Biswas
Linta. B. Issac Dr. Prabhu Vinayagam
Ujwala Rajkumar Pal Dr. Janani Jailkhani
Sincere thanks to the below names for their signicant contributions
Ÿ Loma Waghmare
Ÿ Vincy Varghese
Ÿ Jyoti Rao
If you wish to send an article or write a story , please mail us at infoinsindia@gmail.com
For further details contact:
Sneha George, INS Manager: 8788854094 / www.insindia.orgYou can also read
