I need some help on writing an occurence report for phlebitis. I need help in knowing when to report, how to? who? when? etc and also 2 interventions to prevent it
Nov 22, '06
Phlebitis should be recorded every time it occurs.
Any signs of redness, paing, swelling or hard veins should be reported and charted. You must note when you noticed it, which vein, which arm and what you did about it.
Phlebitis happens for 3 main reasons...
chemical...which is that substance infusing is too irritating
bacterial....which is that the site wasn't properly cleaned prior to insertion or that there was a contaminate in the fluid or somewhere else along the way
mechanical...which is that one might have been to rough with insertion.
Hope this helps at all
Nov 23, '06
well stated, Mandolyn. Good luck getting this taken care of!
Nov 23, '06
Interventions to prevent:
- In line filters for phlebotoxic infusions (such as amiodarone etc)
- Using a central line for phlebotoxic infusions
- Strict asepsis with infusion sites and lines
If you end up with a reddened area around an infusion site, it's often smart to draw a line around it so that you can see if the area is spreading.