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Infusion Therapy Standards of Practice Supplement to January/February 2016 Volume 39, Number 1S ISSN 1533-1458 www.journalofi nfusionnursing.com Infusion Therapy Standards of Practice Funded by an educational grant from BD Medical NANv39n1S-Cover.indd 1 31/12/15 4:27 PM 31/12/15 4:27 PM Volume 39, Number 1S Supplement to Journal of Infusion Nursing January/February 2016 NANv39n1S-Cover.indd 2 Seamless Patient Care, with an IV Catheter that Lasts BD Nexiva™ Closed IV Catheter System Longer dwell times can reduce painful restarts. Let’s admit it. Few people look forward to having an IV catheter placed. Patients don’t like it. Clinicians don’t enjoy it. And all that is compounded when a catheter fails or has to be replaced. Use of the BD Nexiva™ Closed IV Catheter System enables longer dwell times and clinically indicated catheter replacement.1* A 2014 clinical study demonstrated that BD Nexiva™ catheters had a median dwell time of 144 hours for catheters in place ≥24 hours.1* The same study showed that longer dwell times of closed systems led to a cost reduction of approximately $1M/year/1,000 beds compared to an open system.1 That’s good for you and for your patients. To order or learn about all the ways BD is caring for you and your patients, visit bd.com/INS today or call (888) 237-2762. * Compared to 96 hours with an open system. 1 González López J, Arribi Vilela A, Fernández Del Palacio E, et al. Indwell times, complications BD Medical and costs of open vs closed safety peripheral intravenous catheters: a randomized study. 9450 South State Street J Hosp Infect. 2014;86(2):117-126. Sandy, Utah 84070 BD, BD Logo and BD Nexiva are trademarks of Becton, Dickinson and Company. 1-888-237-2762 © 2015 BD MSS0932 (12/15) www.bd.com/INS NAN3901S-IFC.indd 2 31/12/15 3:38 PM INFUSION THERAPY STANDARDS OF PRACTICE Developed by Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN Lynn Hadaway, MEd, RN-BC, CRNI® Mary E. Hagle, PhD, RN-BC, FAAN Mary McGoldrick, MS, RN, CRNI® Marsha Orr, MS, RN Darcy Doellman, MSN, RN, CRNI®, VA-BC REVISED 2016 315 Norwood Park South, Norwood, MA 02062 www.ins1.org JIN-D-15-00057.indd 1 05/01/16 11:30 PM The Art and Science of Infusion Nursing Infusion Therapy Standards of Practice Reviewers Jeanette Adams, PhD, RN, ACNS-BC, CRNI® Alicia Mares, BSN, RN, CRNI® Steve Bierman, MD Britt Meyer, MSN, RN, CRNI®, VA-BC, NE-BC Daphne Broadhurst, BScN, RN, CVAA® Crystal Miller, MA, BSN, RN, CRNI® Wes Cetnarowski, MD Diana Montez, BSN, RN Vineet Chopra, MD, MSc Tina Morgan, BSN, RN Michael Cohen, RPh, MS, ScD(hon), DPS(hon), FASHP Russ Nassof, Esq. Ann Corrigan, MS, BSN, RN, CRNI® Barb Nickel, APRN-CNS, CRNI®, CCRN Lynn Czaplewski, MS, RN, ACNS-BC, CRNI®, Shawn O’Connell, MS, RN ® AOCNS Susan Paparella, MSN, RN ® Julie DeLisle, MSN, RN, OCN Roxanne Perucca, MSN, RN, CRNI® Michelle DeVries, MPH, CIC Ann Plohal, PhD, APRN, ACNS-BC, CRNI® ® Loretta Dorn, MSN, RN, CRNI Kathy Puglise, MSN/ED, RN, CRNI® Kimberly Duff, BSN, RN Vicky Reith, MS, RN, CNS, CEN, APRN-BC ® Cheryl Dumont, PhD, RN, CRNI Claire Rickard, PhD, RN ® Beth Fabian, BA, RN, CRNI Robin Huneke Rosenberg, MA, RN-BC, CRNI®, Stephanie Fedorinchik, BSN, RN, VA-BC VA-BC Michelle Fox, BSN, RN Diane Rutkowski, BSN, RN, CRNI® Marie Frazier, MSN, RN, CRNI® Laura Rutledge, MN, RN, CRNI® Claudia Freitag, PhD Ofelia Santiago, BSN, RN, CRNI® Doreen Gendreau, MSN, MS, CNS, RN-BC, CWCN, Liz Sharpe, DNP, ARNP, NNP-BC, VA-BC DAPWCA Marvin Siegel, RN, CRNI® Lynn Gettrust, MSN, RN Marc Stranz, PharmD Connie Girgenti, BSNc, RN, VA-BC Tim Vanderveen, PharmD, MS Sheila Hale, BSN, RN, CRNI® , VA-BC Cora Vizcarra, MBA, BSN, RN, CRNI®, VA-BC ® ® Dora Hallock, MSN, RN, CRNI , OCN , CHPN Paula Foiw Washesky, MBA, RD, LDN ® Max Holder, BSN, RN, CEN, CRNI , VA-BC Steve Weber ® ® Pamela Jacobs, MHA, BSN, RN, CRNI , OCN Sharon Weinstein, MS, RN, CRNI®, CSP, FAAN, James Joseph, MPH, BSN, RN, CRNI®, VA-BC FACW Matthias Kahl Marcia Wise, RN, VA-BC Pat Kienle, RPh, MPA, FASHP Cheryl Wozniak Melissa Leone, BSN, RN Mary Zugcic, MS, RN, ACNS-BS, CRNI® Michelle Mandrack, MSN, RN JIN-D-15-00057.indd 2 05/01/16 11:30 PM Journal of Infusion Nursing JANUARY/FEBRUARY 2016 Volume 39 • Number 1S Editor Editorial Reviewers Peggy Link, MSN, RN, CRNI® Mary Alexander, MA, RN, Mohammad Abdollahi, PharmD, PhD Rose Anne Lonsway, MA, BSN, CRNI® CRNI®*, CAE, FAAN Jeanette Adams, PhD, RN, Lisa P. L. Low, MPhil, BN, RHV, RN ACNS-BC, CRNI® Lauro Manalo, Jr, MSN Managing Editor Rhonda Maneval, DEd Dorothy Lohmann Melissa Adler, MSN, RN, CMSRN, OCN® Mary McGoldrick, MS, RN, CRNI® ® Editorial Offices Christopher Basnett, MSN, RN, Britt Meyer, MSN, RN, CRNI , INS CRNI®, FNP-BC VA-BC, NE-BC ® ® 315 Norwood Park South Deborah Benvenuto, MBA, BS, CRNI® Nancy Mortlock, RN, CRNI , OCN , Norwood, MA 02062 Georgene Bloomfield, RPh, MS CSRN (781) 440–9408 ® Wendy L. Boersma, BSN, RN, CRNI® Inez Nichols, MSN, RN, CRNI , Fax: (781) 440–9409 Elizabeth Ann Bonilla, MEd, BSN FNP-BC ® For advertising information: Tammy Burdeaux, RN, CRNI® Julie D. Painter, MSN, RN, OCN Nicholas Cardinale, RN, CRNI® Alvisa Palese, MSN Product Advertising Susan Paparella, MSN, RN Michelle Smith, Senior Account Pamela Clark, BSN ® ® Lorelei Papke, MSN, CEd, CRNI Manager Lynda Cook, MSN, RN, CRNI France Paquet, MScN [email protected] Nancy Corbitt, BSN, RN, OCN®, CRNI® Evridiki E. Patelarou, PhD (646) 674-6537 Ann M. Corrigan, MS, BSN, CRNI® Michael Perlow, DNS, RN Judybeth Crowell, BSN, RN, Recruitment Advertising Roxanne Perucca, MS, RN, CRNI® CRNI® North/East: Mike Rusch, Field Cynthia Peterson, MS, RN Kate Douglass, MS, C, CNS, CRNI® Sales Rep Lynn Phillips, MSN, RN, CRNI® Cheryl J. Dumont, PhD, RN, CRNI® [email protected] Christine Pierce, MSN, RN, FACHE Beth Fabian, BA, CRNI® (215) 521-8404 Susan Markel Poole, MS, BSN, Rebecca Anne French, DNP, MSN, South/East: Linda Barta, Regional CRNI®, CNSN BS, RN, CRNI®, ARNP-C Sales Manager Jennifer Riesenberg, BSN, RN, CRNI® Anne Marie Frey, BSN, RN, CRNI® [email protected] Robin Elizabeth Huneke Rosenberg, Nancy Fusillo, MSN, ARNP-BC, (800) 237-1342 MA, RN-BC, CRNI®, VA-BC OCN®, CRNI® West: Michaela Taylor, Advertising Kellianne C. Rosenthal, MS, RN, Sales Rep John Hudson Garrett, Jr, PhD, MSN, CRNI®, ANP, APRN, BC [email protected] MPH, APRN, FNP, CSRN, Timothy Royer, BSN (415) 603-9197 VA-BC™, DON-CLTC™, C-NAC™ ® Jodie Lockman-Samkowiak, DNP, Tracey C. Gaslin, MSN, CRNI , CPNP RN, CRNI® INS Board of Directors Catherine Ann Guy, BSN Fe San Angel, BSN, RN, CRNI®, ® President Lynn C. Hadaway, MEd, RN-BC, CRNI OCN® Cheryl Dumont, PhD, RN, CRNI® Dora Hallock, MSN, RN Felicia Schaps, BSN, RN, CRNI®, ® Donna Hammond, RN, CRNI OCN®, CNSC, CQA President-Elect ® Richelle Hamblin, MSN, RN, CRNI®, Judy Hankins, BSN, RN, CRNI Marvin Siegel, RN, CRNI® RN-BC Michelle L. Hawes, MSN, RN, Kevin Stansbury, MBA, RN CRNI®, VA-BC Presidential Advisor Sandeep Tripathi, MD Mark R. Hunter, RN, CRNI® ® Ann Plohal, PhD, APRN, ACNS-BC, Cora Vizcarra, MBA, RN, CRNI Debra Johnson, MPH, BSN, RN, CRNI® Susan H. Weaver, MSN, RN, OCN®, CIC NEA-BC, CRNI® Secretary/Treasurer ® ® Sarah M. Jones, MS, RN, ACNS- Sharon M. Weinstein, MS, CRNI , Lisa Bruce, BSN, RN, CRNI , IgCN ® ® BC, AOCNS , CRNI FAAN Directors-at-Large Alene J. Keller, BSN, RN, CRNI® Judy G. Williams, BA, RN, CRNI® ® Diedre Bird, BSN, RN, CRNI Edward Korycka, CRNI®, OCN® Kathleen Wilson, MPH, BSN, RN, Max Holder, BSN, RN, CEN, ® ® Dana Kyles, BSN CRNI CRNI , VA-BC James Lacy, BSN, RN, CRNI® Ann Zonderman, JD, BSN, CRNI® Public Member Helen Larson, BSN, RN, CRNI® Mary Zugcic, MS, RN, ACNS-BC, Donald Filibeck, PharmD, MBA CRNI® INS Chief Executive Officer *CRNI is a registered trademark of the Infusion Nurses Certification Corporation. Mary Alexander, MA, RN, CRNI®, The Journal of Infusion Nursing, the official publication of the Infusion Nurses Society (INS), seeks to promote excellence in infusion CAE, FAAN nursing by presenting new research, clinical reviews, case studies, and professional development information relevant to the practice of infusion therapy. Articles selected for publication represent the broad scope of the infusion specialty and draw on the expertise of all health care providers who participate in the delivery of infusion. JIN-D-15-00057.indd 3 05/01/16 11:30 PM Journal of InfusionInfusion NursingNursing Contents Note: The “S” in page numbers denotes supplement issue and does not refer to a specifi c standard. Foreword S1 SECTION THREE: III. Central Venous Access via Peripherally Inserted About the Standards of INFECTION PREVENTION Central Catheters S55 Practice Committee S3 AND CONTROL IV. Central Venous Access Preface S5 16. Hand Hygiene S38 via Nontunneled Central A Message from BD Medical S6 17. Compounding and Preparation of Vascular Access Devices (CVADs) S55 Acknowledgments S7 Parenteral Solutions and Medications S39 V. Central Venous Access via Methodology for Developing the 18. Medical Waste and Sharps Tunneled Central Vascular Standards of Practice S8 Safety S40 Access Devices (CVADs) Strength of the Body of Evidence S10 and Implanted Ports S55 19. Standard Precautions S41 VI. Peripheral Arterial Access S55 20. Transmission-Based Precautions S42 STANDARDS OF PRACTICE VII. External Jugular Vein 21. Disinfection of Durable Medical Access S56 Equipment S43 SECTION ONE: INFUSION 28. Implanted Vascular Access THERAPY PRACTICE SECTION FOUR: INFUSION Ports S58 1. Patient Care S11 EQUIPMENT 29. Hemodialysis Vascular Access Devices (VADs) S59 2. Special Patient Populations S11 22.
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