Clinical trial NCT04692753: Effect of Education of Health Care Workers on the Maintenance of Venous Access Devices
Official title: Effect of Intensive Training and Education of Health Care Workers on the Maintenance of Venous Access Devices in Critically Ill Patients at a Tertiary Care Academic Hospital
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Vascular Access Devices
Keywords: intensive care unit
health care workers
central venous catheters
Lead sponsor: Post Graduate Institute of Medical Education and Research, Chandigarh
Sponsor class: OTHER
First posted: 2021-01-05
Enrollment: 400
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All patients admitted to Main ICU of PGIMER during the period of data collection

Brief summary: In intensive care units (ICU), critically ill patients require various venous access devices for fluid resuscitation, drug therapy, or renal replacement therapy (RRT). These include peripheral intravenous catheters (PIVC), specialized venous ports like central venous catheters (CVCs), and hemodialysis ports. The investigators plan to do this pre- and post-intervention study to know the effect of intensive training and education of HCW (doctors and nurses) on the condition of venous access devices in critically ill patients.

Detailed description: Phase 1, pre-intervention: The first twelve weeks will include 25 random visits to main ICU and point observations of all venous access devices under parameters like condition of dressing, connectors and documentation. This will also include the comparison of incidence of CLABSI in the pre and post intervention phase.

Phase 2, intervention: Next four weeks will be an intervention in the form of intensive training and education of the HCW (doctors and nurses). The intensive training will be in the form of an online presentation in which the investigators would have videos on care and maintenance of venous access devices, and the importance of documentation of days of insertion and change of dressing.

Phase 3, post-intervention: Another twelve weeks, post-intervention, again 25 random visits will be done to collect point observations about the same parameters of venous access devices and documentation as done in phase 1.

Statistical analysis: Each of these point observation parameters (for central or peripheral venous access) will be finally categorized as appropriate/inappropriate as per guidelines for best practice.

The compiled data from pre and post intervention phases would be compared. All the categorical parameters (appropriate/inappropriate) will be compared using chi-square test. All the quantitative parameters (e.g. incidence of CLABSI) will be compared using a paired t-test

Eligibility criteria: Inclusion Criteria:

* All patients admitted to Main ICU

Exclusion Criteria:

* Patients who refuse to give consent

Primary outcomes:
measure: To study the effect of intensive training and education of health care workers on care and maintenance of venous access devices in critically ill patients
timeFrame: Seven months
Secondary outcomes:
measure: effect of intensive training and education on incidence of CLABSI during pre and post intervention phase
timeFrame: seven months
Other outcomes:
measure: to study improvement in documentation regarding venous access devices
timeFrame: seven months
Locations:
city: Chandigarh
country: India
facility: PGIMER
Study officials:
References: