Date of Graduation

Summer 8-17-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Elena Capella

Second Advisor

Karin Blais

Abstract

The purpose and intention of the project is to increase awareness in the topic of reducing intravenous extravasations. An assessment of my microsystem was completed that helped me identified the unit’s need for IV management safety. The problem assessed showed that approximately fifteen percent of intravenous catheters were infiltrated by the time patients arrived to pre-op surgery. The clinical setting took place at Huntington Hospital in Pasadena. This is a level 2-trauma center in the San Gabriel Valley with 625 beds in hospital to accommodate a diverse patient population. This project took place at a 32-bed in-patient Surgical Unit within the hospital. The method of analysis used for this project involved a pre-audit and post-audit tool to assess for IV compliance safety. Pre in-service data showed infiltration rates were at 4% while other significant variables such as IV tubing not in use remains sterile were under 65% and intact dressing were below 80%. An attendance of 42 nurses to a staff meeting was held to provide education on intravenous protocols. Teaching aid visuals and handouts were distributed to staff for reference. Post in-service audits were used to determine effectiveness of teaching. The implementation results showed a decreased by 2% on IV infiltrations while maintenance on keeping tubing sterile rose to 70%. Intact dressings were above 90% compliance. A success in decreasing in decreasing IV infiltrations and extravasations were reduced by 50%. The evaluation results concluded that the in-service provided to staff RNs showed improvement and will continue to be evaluated in the future.

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