Advancing IV Therapy
News and presentations from todays conference chaired by Nicola York Board Member, NIVAS, and Clinical Nurse Manager Vascular Access focusing on advancing IV Therapy including implementing the RCN Standards for Infusion Therapy and monitoring adherence to the NICE Guideline and Quality Standards for IV Therapy.
Meeting the NEW RCN Standard for Infusion Therapy in Practice
Suman Shrestha, Advanced Nurse Practitioner Critical Care Services, Frimley Health NHS Foundation Trust, and Project Board Member, RCN Standard for Infusion Therapy 2016
The revised edition of RCN Standards for Infusion Therapy which was published in December 2016 provides nurses with guidance to support their care to those patients who receive infusion therapy. The guidance is not limited to nurses but recommended for all other health care professionals who deliver infusion therapy. In this session, I will discuss the challenges and complexity of infusion therapy and how this guideline can be used in clinical practice in order to improve patient safety and quality as well as for the provision of training and education. The document can be download from: https://www.rcn.org.uk/professional-development/publications/pub-005704
Investigating IV Therapy incidents
Lucy Francis, IV Clinical Nurse Specialist/OPAT Lead Nurse, Brighton and Sussex University Hospitals NHS Trust
Pre-Event Abstract: Root cause Analysis in Intravenous Therapy (IV):
The National Health Service (NHS) England attends to over I million patients every 36 hours, this covers everything from antenatal screening and routine screenings, treatments for long-term, transplants, emergency treatment and end of life care (NHS England 2015). With such huge numbers something may occasionally go wrong and a Root Cause Analysis (RCA) should be done to identify the problem. RCA is a systematic process to answer WHY an incident occurred and actions necessary to prevent re-occurrence are put in place (DOH 2002).
The process is chronological in its approach and therefore follows WHAT happened, WHY it happened, HOW it happened and WHAT will be done to prevent a re-occurrence of a similar incident. It is worth noting that RCA’s should focus on prevention and not blame or punishment.
Keers et al (2015) say that 95 % of in-patients coming to NHS hospitals will have some form of IV intervention. In IV therapy incidents have been found to occur mainly as a result of drug errors due to incorrect drug calculations, incorrect programming of infusion devices and contamination of Vascular Access Devices. Intravenous IV fluid management has also been highlighted by NICE guidelines (2014) as there appears to be lack of training on how and what fluids to administer. There are many ways of doing an RCA but once the root cause has been identified, sustainable solutions to prevent re-occurrence need to be put into place as well as a robust system of ensuring the management adheres to the standards that will be set.
It is important to remember that there are challenges in carrying out a RCA and this needs to be acknowledged and addressed while carrying out an RCA investigation.
References available on request.
Future related events:
Reducing Medication Errors in Hospitals National Summit 2017
Demonstrating & Improving Nurse Prescribing Competence & Practice: Implementing the New National competency framework for all prescribers
Nurse Prescribing in Cancer Care
Nurse Prescribing on the Wards
Thursday 13 July
Manchester Conference Centre, Manchester
Advancing IV Therapy
Friday 15 September
De Vere West One Conference Centre, London
12 May 2017