Vessel health: Novel scale assesses peripheral vein quality

Vessel health: Novel scale assesses peripheral vein quality

Repeated insertion attempts can lead to pain, discomfort and vessel trauma, causing the patient’s venous asset to be limited and damaged1,2. Difficult intravenous access (DIVA) may cause delays in patient management as well as increases in hospitalisation costs1. Multiple attempts can limit and damage a patient’s venous asset1.

Venous asset is defined by Civetta et al. as “the clinically exploitable venous network system, useful for the administration of parenteral solutions and for blood sampling1.”

Patient experiences with vascular access may influence their perceptions regarding their hospital stay and satisfaction2.

More on this topic: How can vascular access affect patient satisfaction in hospitals?

Jacopo Fiorini, Vascular Access Specialist and Research Nurse, and his team conducted a literature review on the maintenance and preservation of vessel health in hospitalised patients inserted with central or peripheral vascular access devices (VADs)3.

They found several strategies that vascular access professionals use to help improve clinical outcomes and patient experience3.

Register to read the full article and watch Jacopo Fiorini’s presentation.

References

  1. Civetta G, Cortesi S, Mancardi M, et al. EA-DIVA score (Enhanced Adult DIVA score): A new scale to predict difficult preoperative venous cannulation in adult surgical patients. J Vasc Access. 2019;20(3):281-289. doi:10.1177/1129729818804994
  2. Omkar Prasad R, Chew T, Giri JR, Hoerauf K. Patient Experience With Vascular Access Management Informs Satisfaction With Overall Hospitalization Experience. J Infus Nurs. 2022;45(2):95-103. doi:10.1097/NAN.0000000000000460
  3. Fiorini J, Venturini G, Conti F, et al. Vessel health and preservation: An integrative review. J Clin Nurs. 2019;28(7-8):1039-1049. doi:10.1111/jocn.14707
  4. Krein SL, Kuhn L, Ratz D, Chopra V. Use of Designated Nurse PICC Teams and CLABSI Prevention Practices Among U.S. Hospitals: A Survey-Based Study. J Patient Saf. 2019;15(4):293-295. doi:10.1097/PTS.0000000000000246
  5. Gorski LA, Hadaway L, Hagle ME, et al. Infusion Therapy Standards of Practice, 8th Edition. J Infus Nurs. 2021;44(1S Suppl 1):S1-S224. doi:10.1097/NAN.0000000000000396
  6. McDiarmid S, Scrivens N, Carrier M, et al. Outcomes in a nurse-led peripherally inserted central catheter program: a retrospective cohort study. CMAJ Open. 2017;5(3):E535-E539. doi:10.9778/cmajo.20170010
  7. Moureau NL, Trick N, Nifong T, et al. Vessel health and preservation (Part 1): a new evidence-based approach to vascular access selection and management. J Vasc Access. 2012;13(3):351-356. doi:10.5301/jva.5000042
  8. Fiorini J, Piredda M, Zaghini F, et al. Vessel health and preservation: Development and validation of a proactive instrument. Collegian. 2021;28(5):528-533. doi:10.1016/J.COLEGN.2021.02.005

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