Research Aims Method Background Results

liane-varnes
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Research Aims Method Background Results Conclusions Sixteen articles met inclusion criteria Fifteen articles were selected for review Articles provided evidence supporting establishing blood return during monthly port flush Search of

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Research Aims Method Background Results Conclusions Sixteen articles met inclusion criteria
Fifteen articles were selected for review
Articles provided evidence supporting establishing blood return during monthly port flush
Search of WaveNet revealed an established policy, providing an assessment tool and subsequent interventions in the setting of an occluded CVAD We had four overall research aims:
To determine the necessity of obtaining blood return during monthly implanted port flushes for patients with non-utilized ports
To determine appropriate assessment criteria
To identify causes of central venous access device (CVAD) occlusion.
To state complications caused by CVAD occlusions Implications For Practice Gloria B. Ascoli, RN, CRNI, Amy C. Brown, BSN, RN, Jessica L. Cooper, BSN, RN, Allison N. Crawford, BSN, RN, CRNI Is it Necessary to Verify Blood Return in Monthly Port Flushes? A literature search was conducted to accomplish the research aims: Infusion Nurses Society (INS) archives and our internal policies (Sentara WaveNet) were also searched Nurses in our outpatient infusion center see patients with implanted ports requiring routine monthly flushes for maintenance only
Nurses were often encountering partial withdrawal occlusions from implanted ports during routine monthly port flushes
Partial withdrawal occlusion – the ability to flush easily but inability to aspirate blood
Nurses questioned the necessity of a thrombolytic agent to establish blood return when no therapy was ordered Blood return must be verified prior to any therapy via an implanted port, including monthly port flushes
“Thorough assessment of the patient and the CVAD for the potential cause of an occlusion will be performed, and the appropriate intervention will be performed to restore catheter patency (INS, 96)”
Nurses should be educated about the importance of the ability to aspirate blood from a CVAD prior to use<br>
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Assessment of Central Line Catheter Occlusion
Chart 1<br>
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Types of CVAD Occlusions
Chart 2<br>