Impact of an Infusion Therapy Nursing Expert Service on Length of Stay and Clinical Results of Venous Access Devices

Study Overview
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Brief Summary
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The purpose of this study is to determine whether an infusion therapy nursing expert service is effective in decreasing hospital length of stay, improving the clinical results of venous access devices and increasing patient satisfaction with venous access.

Official Title
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Impact of an Infusion Therapy Nursing Expert Service on Length of Stay, Clinical Results of Venous Access Devices and Satisfaction on Patients With Long Intravenous Therapy Prescription.

Conditions
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Patients With Prolonged Intravenous Therapy

Intervention / Treatment
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* Other: Infusion therapy nursing expert service


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Require an estimated long prescription of intravenous treatment. These treatments may be of fluid therapy, pharmacological, nutritional or hemotherapy. Estimation of 7 days or more of continuous intravenous therapy. Estimation of an intermittent intravenous therapy of less than a week, but on a monthly basis or less and a total estimated duration superior to 3 months. Be patient at Araba University Hospital Exclusion Criteria: To have a central venous catheter indwelled MRSA (Methicillin Resistant Staphylococcus Aureus) Younger than 18 years old

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control Group<br>routine care for the selection, placement and maintenance of venous access devices (VAD). | |
| Experimental: Infusion Therapy Nursing Expert<br>Patients in this group will receive the infusion therapy nursing expert (ITNE) service. | Other: Infusion therapy nursing expert service<br>* The ITNE will assess the patient and treatment characteristics and use an evidence based decision making algorithm for the selection of the most suitable VAD. If the VAD needed is a PICC or a midline ITNE will place it following hospital's protocols. If needed, ITNE will also educate and support patients and next of keens in the maintenance of the device at home. If other devices such as peripheral catheters, central venous catheters (jugular or subclavian) or venous subcutaneous reservoirs are the preferable VADs for patients and treatment conditions, ITNE will work together with health professionals in charge of patients to activate the usual procedures to place the according device.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Length of Stay |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Venous Access Devices reaching end of treatment |  | 3 months | 
| Incidence of complications derived from VAD |  | 3 months | 
| Patients receiving intravenous therapy at home |  | 3 months | 
| Patient satisfaction with VAD |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nursing Services, Catheterization, Central Venous, Catheters Indwelling, Catheterization, Peripheral