Extended Peripheral Catheter Dwell Time

Specialties Infusion

Published

Has anyone implemented extended IV Catheter Dwell time at your organization?

Thanks

MB

Nope. Still 3 days at my facility.

Specializes in Critical Care.

We've done IV site changes as only prn for almost a year.

Specializes in Vents, Telemetry, Home Care, Home infusion.

[h=3]When should peripheral venous catheters be replaced?[/h]Cochrane Review reported:

[h=2]Best practice recommendations[/h]The results from this review suggest that peripheral venous catheters should be replaced when clinically indicated for those patients who receive intravenous therapy in acute and community settings. The evidence recommends discouraging the routine change of catheters every 72-96 hours.

The full review report, including references, can be accessed here.

CDC Updates IV Catheter Infection Prevention Guidelines

Yes, we have. Time length is 29 days. I can't say I've actually seen one in place for this length of time nor do I particularly care for them. Have been told that blood work may be obtained from them with tourniquet use, but I've yet to see this actually work. Clinically, I want my IV device to be reliable whether it's for med/IV fluid administration, power injection, and /or blood draws for those patient populations that require greater than 5 days worth of treatment - give me a power PICC any day over an extended length catheter. Do not confuse and extended dwell catheter with a short peripheral IV catheter. They are not the same. I am not attempting to promote any one company, but our facility happens to work with BardAccess and they have very good resources if you are needing to implement policy/procedure at your facility.

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