Nurses’ knowledge of the management of drug-induced peripherally inserted central catheter obstruction: A descriptive phenomenological study

2020 ◽  
Vol 21 (5) ◽  
pp. 680-686
Author(s):  
Li-yuan Zheng ◽  
Yi Peng ◽  
Hua Yuan ◽  
Shu-xiang Liu ◽  
Hui Xue ◽  
...  
Keyword(s):  
Phenomenological Study ◽  
Time Pressure ◽  
Clinical Work ◽  
Study Data ◽  
Infusion Therapy ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Drug Induced ◽  
Catheter Obstruction ◽  
Nurses Knowledge

Objectives: The purpose of this research is to describe and understand nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction management in developing countries. This research aims to identify the reasons why nurses lack knowledge of the management of drug-induced peripherally inserted central catheter obstruction and do not use the drug-induced peripherally inserted central catheter obstruction management techniques recommended by the Infusion Therapy Standards of Practice. Methods: The descriptive phenomenological method was used to investigate nurses’ knowledge of the management of drug-induced peripherally inserted central catheter obstruction. Semi-structured in-depth interviews with 17 nurses from three hospitals in northeast China were used in this qualitative study. Data collection and analysis were conducted simultaneously during the research. Nvivo software 12.0 was used to organize and code the data, and Colaizzi’s seven phases of data analysis were used to form themes. Findings: The findings showed that there is inconsistency in nurses’ knowledge of drug-induced peripherally inserted central catheter obstruction and its management, and we suggest reasons for this phenomenon. Conclusion: This research has shown that inconsistent practice in the management of drug-induced peripherally inserted central catheter obstruction is a more complex issue than originally thought. These inconsistencies are related to time pressure on nurses, nurses’ knowledge of peripherally inserted central catheter obstruction, and limitations of the clinical work model.

The Wandering Ways of a PICC Line: Case Report of a Malpositioned Peripherally Inserted Central Catheter (PICC) and Correction

2011 ◽  
Vol 16 (4) ◽  
pp. 218-220 ◽  
Author(s):  
J. Patricia Catudal ◽  
Elizabeth L. Sharpe
Keyword(s):  
Trisomy 21 ◽  
Term Infant ◽  
Infusion Therapy ◽  
Team Approach ◽  
X Rays ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Congenital Cardiac Anomalies ◽  
Picc Line ◽  
Central Catheters

Abstract Peripherally Inserted Central Catheters (PICC) are essential in modern infusion therapy. We describe a case of a full-term infant with Trisomy 21, congenital cardiac anomalies and sepsis, where the PICC became malpositioned. Noninvasive repositioning strategies were successfully utilized through a team approach, which enabled this unstable infant to complete their therapy course without the undue stress of inserting a new PICC or requiring additional X-Rays or more invasive replacement procedures.

scholarly journals Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e033804 ◽  
Author(s):  
Binbin Xu ◽  
Jinghui Zhang ◽  
Jianmei Hou ◽  
Mengdan Ma ◽  
Zhihong Gong ◽  
...  
Keyword(s):  
Previous History ◽  
Hunan Province ◽  
Secondary Outcome ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Nurses Knowledge

ObjectivesThe present study aimed to assess the level of knowledge on peripherally inserted central catheter (PICC) maintenance among nurses in China and to analyse the related factors influencing this variable.DesignA cross-sectional survey.SettingNinety-one hospitals at three different levels in Hunan Province, China: county hospitals, municipal hospitals and provincial hospitals.ParticipantsA total of 4110 registered nurses engaged in clinical work related to intravenous infusion.Primary and secondary outcome measuresNurses’ knowledge of PICC maintenance was measured by the score of an anonymous, self-reported questionnaire.ResultsThe mean score of PICC maintenance among 4110 nurses was 72.86±14.86. 83.5% of the participants exhibited a score of 60 or above, and 34.1% of them exhibited a good grade with a score of 80 or above. The difference in the correct rate among different dimensions was statistically significant (H=17.721, p<0.01). The generalised linear model indicated that the factors influencing the nurses’ PICC maintenance knowledge included gender, age, professional title, work setting and previous history of PICC maintenance training.ConclusionsIn conclusion, the knowledge of PICC maintenance was at a medium level among nurses in Hunan province, China. Multiple steps should be taken to improve the nurses’ PICC maintenance knowledge, including disseminating PICC maintenance knowledge in multiple ways, such as courses, lectures, seminars and new media. Particular attention should be given to populations who responded poorly in this survey, and targeted education for nurses should be distributed based on their performance on specific dimensions, such as the replacement of dressing and needle-free connectors. In addition, the quality of the nurses’ practical performance could be measured in the future.

A Unique Case of Cutaneous Cunninghamella infection in an Immunocompromised Patient (Preprint)

2020 ◽  
Author(s):  
Mauricio Portillo ◽  
Shyam Allamaneni ◽  
Richard Goodman
Keyword(s):  
Fungal Infections ◽  
Immunocompromised Patient ◽  
Lymphocytic Leukemia ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Unique Case ◽  
Systemic Complications ◽  
Prompt Treatment ◽  
Mode Of Transmission ◽  
And Control

UNSTRUCTURED Cunninghamella species are an extremely rare cause of fungal infections. The usual mode of transmission is through inhalation however rare cases of cutaneous spread have been reported. The objective of this clinical case report is to highlight the uniqueness of which the patient acquired the infection, the progression, and control of it. A 57-year-old male with chronic lymphocytic leukemia was found to have an abscess next to his peripherally inserted central catheter (PICC) line. The abscess culture grew back Cunninghamella and was debrided and treated with a novel antifungal. The fungal infection was controlled and the total timeframe took 28 days. Rapid recognition and prompt treatment demonstrate the prevention of rapidly progressive angioinvasian and further systemic complications. This case also proves that a novel antifungal may be appropriate in controlling the spread of Cunninghamella species.

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