The PIV5Rights Safety and Quality Bundle

Study Overview
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Brief Summary
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Purpose of this study is to see if a Peripheral Intravenous Catheter PIVC will last longer if inserted by a Registered Nurse (RN) who specializes in inserting PIVCs. Main question it aims to answer: 1. We believe that the use of the ultrasound, an RN who specializes in PIVC placement with the use of ultrasound and the use of best of class medical technology, may improve first stick success with PIVC insertion and the length of time the PIVC stays in place without showing any related complications

Detailed Description
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After being informed about the study and potential risks, all patients giving written informed consent, patients will be randomized using Research Randomizer. At that time, the IV Therapist will insert a PIVC using standard of care medical equipment (control) or use ultrasound guidance, if needed, to insert a PIVC using the bundle with the best of class medical devices. Daily, a research RN will round, assess the site and take a picture. When therapy is complete or the PIVC malfunctions, the research RN will document the reason why the PIVC failed and that patient will no longer remain in the study.

Official Title
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The PIV5Rights Safety and Quality Bundle

Conditions
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Catheter Complications

Intervention / Treatment
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* Device: Bundled


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older with not upper limit admitted to the CB5 nursing unit requires an IV for fluid and or medication administration able to read and write English and willing to complete written, informed consent Exclusion Criteria: Unable to speak and read English Vulnerable populations such as minors (under age of 18) Incompetent or mentally challenged Prisoners Pregnant women or the unborn presented in the hospital prior to study start date

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: Other
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: Randomized controlled trial evaluating a peripheral intravenous catheter (PIVC) inserting using a bundled approach. Will evaluate the for extended dwell time and less complications compared to a PIVC using a non-bundled approach
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Proficient RN who works in IV Therapy Department - PIVC inserted without using ultrasound; non-bordered transparent dressing; 1-1.25 inch catheter; microbore extension set with neutral needleless connector; transpore tape. Standard of care | |
| Experimental: Bundled<br>Proficient RN who works in IV Therapy Department - 6 cm catheter inserted with or without ultrasound; chlorhexidine embedded transparent bordered dressing; transpore tape; microbore extension set with antireflux needleless connector | Device: Bundled<br>* An peripheral intravenous catheter will be inserted by an RN specially trained in PIVC placement, with or without ultrasound. Using best of class medical products, will evaluate dwell time and complications of the PIVC inserted using a bundled approach versus one inserted with the bundle<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 1 PIVC Per Patient Stay | To compare the proportion of patients for whom the initial catheter insertion is sufficient for their duration of care across the two groups | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dwell Time | To compare dwell times between the 2 groups. Dwell time is defined as the time from line insertion to line removal. | 1 year | 
| Cost Impact | To compare cost with additional PIVC's inserted if PIVC failed to make it until the end of therapy | 1 year | 
| Outcome Analysis | To compare IV related complications between the 2 groups (infiltrations, occlusions, phlebitis) | 1 year |