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What’s new in U.K. Vessel Health and Preservation 2020?
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What’s new in U.K. Vessel Health and Preservation 2020?

Cannulation decisions are frequently made by less experienced healthcare professionals (HCPs)1. Intravenous (IV) complications are costly to both the patient and the health system as a whole2. The U.K. Vessel Health and Preservation (VHP) framework was created to help improve vascular access management in the United Kingdom2.

Carole Hallam, Independent Nurse Consultant, presented an update to the U.K. VHP framework at the BD Multidisciplinary Advanced Course on Vascular Access (MACOVA) 2022 in Berlin.

More on this topic: How to improve the reliability of healthcare, from Sir David Dalton

What is the U.K. Vessel Health and Preservation framework?

The U.K. VHP framework was originally developed by the VHP Group in 20161. This group is made up of the following U.K. organisations1:

  • Infection Prevention Society (IPS)
  • Royal College of Nursing (RCN)
  • National Infusion and Vascular Access Society (NIVAS)

The original U.K. VHP framework included four clinical decision aides1:

  1. Peripheral vein assessment tool
  2. Suitability of IV fluids/medications for peripheral vein administration
  3. Right line decision tool
  4. Re-evaluation of vascular access device

Objective: Aid clinicians at making decisions to preserve vessels, prevent intravenous (IV) catheter-related complications and improve the patient experience1.

What changes were made in 2020 to the 2016 VHP framework?

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References

  1. Hallam C, Weston V, Denton A, et al. Development of the UK Vessel Health and Preservation (VHP) framework: a multi-organisational collaborative. J Infect Prev. 2016;17(2):65-72. doi:10.1177/1757177415624752
  2. Jackson T, Hallam C, Corner T, Hill S. Right line, right patient, right time: every choice matters. Br J Nurs. 2013;22(8):S24, S26-28. doi:10.12968/bjon.2013.22.Sup5.S24
  3. Hallam C, Denton A, Weston V, et al. UK Vessel Health and Preservation (VHP) Framework: a commentary on the updated VHP 2020. J Infect Prev. 2021;22(4):147-155. doi:10.1177/1757177420976806
  4. Infection Prevention Society. UK VESSEL HEALTH AND PRESERVATION 2020. Published online 2020. Accessed October 3, 2022. https://www.ips.uk.net/vessel-health-and-preservation-framework-2020
  5. Bahl A, Hijazi M, Chen NW, Lachapelle-Clavette L, Price J. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. 2020;76(2):134-142. doi:10.1016/j.annemergmed.2019.11.013
  6. Chopra V, Flanders SA, Saint S, et al. The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method. Ann Intern Med. 2015;163(6 Suppl):S1-40. doi:10.7326/M15-0744
  7. van Loon FHJ, van Hooff LWE, de Boer HD, et al. The Modified A-DIVA Scale as a Predictive Tool for Prospective Identification of Adult Patients at Risk of a Difficult Intravenous Access: A Multicenter Validation Study. J Clin Med. 2019;8(2). doi:10.3390/jcm8020144
  8. Hallam C. UK Vessel Health and Preservation (VHP). Presented at: The 2022 BD Multidisciplinary Advanced Course on Vascular Access (MACOVA); June 8, 2022; Berlin, Germany.

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