Establishing a Nurse-Led Central Venous Catheter Insertion Service

Background: Health care systems promote care models that deliver both safety and quality. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. Objectives: The aim of this paper is to discuss the process of establishing a nurse-led cen...

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Main Authors: Alexandrou, Evan, Spencer, T., Frost, S., Parr, M., Davidson, Patricia, Hillman, K.
Format: Journal Article
Published: Association for Vascular Access 2010
Online Access:http://hdl.handle.net/20.500.11937/6899
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author Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
author_facet Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
author_sort Alexandrou, Evan
building Curtin Institutional Repository
collection Online Access
description Background: Health care systems promote care models that deliver both safety and quality. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. Objectives: The aim of this paper is to discuss the process of establishing a nurse-led central venous catheter (CVC) insertion service in a university affiliated hospital using a process evaluation method. Method: Archival information, including reports, communications and minutes of departmental meetings were reviewed. Key stakeholders involved in establishing this nurse-led service at the time were interviewed. Results: A nurse-led CVC insertion service was first established in 1996 and has increased in service provision over 13 years. Initially there was scepticism from some medical practitioners about the feasilibility of a nurse performing a traditional medical procedure. The service currently provides central venous access across the hospital including critical care areas. The service places up to 500 catheters per annum. Conclusions: Establishing a nurse-led CVC insertion service has increased organisation efficiencies and provided an infrastructure for support of best practice. The support of senior management and medical practitioners was crucial to the successful implementtion of this model of care.
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spelling curtin-20.500.11937-68992017-09-13T16:01:43Z Establishing a Nurse-Led Central Venous Catheter Insertion Service Alexandrou, Evan Spencer, T. Frost, S. Parr, M. Davidson, Patricia Hillman, K. Background: Health care systems promote care models that deliver both safety and quality. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. Objectives: The aim of this paper is to discuss the process of establishing a nurse-led central venous catheter (CVC) insertion service in a university affiliated hospital using a process evaluation method. Method: Archival information, including reports, communications and minutes of departmental meetings were reviewed. Key stakeholders involved in establishing this nurse-led service at the time were interviewed. Results: A nurse-led CVC insertion service was first established in 1996 and has increased in service provision over 13 years. Initially there was scepticism from some medical practitioners about the feasilibility of a nurse performing a traditional medical procedure. The service currently provides central venous access across the hospital including critical care areas. The service places up to 500 catheters per annum. Conclusions: Establishing a nurse-led CVC insertion service has increased organisation efficiencies and provided an infrastructure for support of best practice. The support of senior management and medical practitioners was crucial to the successful implementtion of this model of care. 2010 Journal Article http://hdl.handle.net/20.500.11937/6899 10.2309/java.15-1-5 Association for Vascular Access fulltext
spellingShingle Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
Establishing a Nurse-Led Central Venous Catheter Insertion Service
title Establishing a Nurse-Led Central Venous Catheter Insertion Service
title_full Establishing a Nurse-Led Central Venous Catheter Insertion Service
title_fullStr Establishing a Nurse-Led Central Venous Catheter Insertion Service
title_full_unstemmed Establishing a Nurse-Led Central Venous Catheter Insertion Service
title_short Establishing a Nurse-Led Central Venous Catheter Insertion Service
title_sort establishing a nurse-led central venous catheter insertion service
url http://hdl.handle.net/20.500.11937/6899