P-1035. Assessment of Healthcare Providers' Knowledge and Decision-Making Patterns in Peripheral Venous Catheter Management in Acute Care Settings

TL;DR

The study finds that nurses are most aware of peripheral IV catheters and are seen as best suited to make decisions about them, though many still believe a doctor's order is needed to remove them.

Contribution

The study identifies nurses as primary decision-makers for peripheral IV catheter management despite their greater awareness compared to hospitalists.

Findings

RNs were more aware of PIVC presence than hospitalists (100% vs 46%).

Most respondents agreed IV access can be safely discontinued for low-risk patients.

Over half believed a provider's order is necessary to discontinue all IVs.

Abstract

Peripheral intravenous catheters (PIVC) are a common medical intervention and source of complications for hospitalized patients.

This study assessed awareness of PIVC presence and characterized who makes decisions about PIVC. We hypothesize that RNs are most aware of PIVC presence and are regarded as most appropriate to make decisions about PIVC need.Table 1.Select survey responses

Select survey responses

This is a cross-sectional, anonymous survey of hospitalists and acute care RNs working on adult units at a 500-bed academic safety net hospital in Denver, CO. The survey was administered between 10/30/24 and 11/30/24.

The response rate was 36% (26/56 hospitalists; 63/193 acute care RNs).

PIVC awareness. RNs were more likely to agree or strongly agree that they were aware of how many PIVC their patients had than hospitalists (100% vs 46%, p< 0.00001).

PIVC decisions (Table 1).Both hospitalists and RNs reported that RNs most often decide the quantity of PIVCRNs were identified as being in the best position to decide how many PIVC a patient neededMost hospitalists and RNs agreed or strongly agreed that IV access can be safely discontinued for hospitalized patients with a low risk of deterioration who are not receiving IV medications or fluidsOver half of respondents agreed or strongly agreed that a provider’s order is necessary to discontinue all IV

Both hospitalists and RNs reported that RNs most often decide the quantity of PIVC

RNs were identified as being in the best position to decide how many PIVC a patient needed

Most hospitalists and RNs agreed or strongly agreed that IV access can be safely discontinued for hospitalized patients with a low risk of deterioration who are not receiving IV medications or fluids

Over half of respondents agreed or strongly agreed that a provider’s order is necessary to discontinue all IV

Despite RNs having the greatest awareness of PIVC and being regarded as best to make the decisions about PIVC, less than half of respondents felt that RNs should remove PIVC without an order.

All Authors: No reported disclosures

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