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Becton, Dickinson and — Technical Presentation (April 2020)
15 slides from Becton, Dickinson and's technical presentation, April 2020
Slide 1: Presentation disclaimer
These presentations were developed by the respective presenter(s), and the findings, interpretations, and conclusions contained or expressed with them do not necessarily reflect the views of BD. To the extent these presentations relate to specific products, such products should always be used in acc
Slide 2: Can the nurse request a long-term vascular access device?
Can the nurse request a long-term vascular access device? Richard Faitg*, Christian Dupont** * **
Slide 3: Report
Report Nurse is used to insert, use, monitor, and remove various vascular access devices • French nurse does not have the right to prescribe a vascular access device • Transfer a medical practice "laying a central venous line" is not so common among caregivers in France • Medical power? • Fear of th
Slide 4: New practices, new equipment
New practices, new equipment 2009 2013 21 July 22 August • Article 51 of the Act of 21 July 2009, which aims to • Authorisation of the Memorandum of Cooperation extend the principle of cooperation between health « Skill transfer: Central venous line placement by the professionals by taking them out
Slide 5: The Midline in France
The Midline in France • Recently introduced: 2013 • Alternatives to central line or short peripheral cannula (spc)* • Indicated when a middle term IV therapy is prescribed or when a spc can’t be used or inserted • Easy assimilation by health care teams • No need to skills’ transfer with nurse and an
Slide 6: Nurses (IDE)
Should a skill transfer be preferred for the insertion of central vascular accesses rather than a global vascular access organization (a quality criterion in a healthcare institution)? → Nurses (IDE)
Slide 7: The vascular access process is part of a nursing care project
The vascular access process is part of a nursing care project Priority objective: • Make long-term IV catheters available for patients in a short delay Consequences: • Efficient treatment, security and comfort for patients • Care practices improvement
Slide 8: Vascular access request: Exclusive to the doctor?
« Vascular access request : Exclusive to the doctor ? » 2018 July–Dec. Focus on two 6-month periods in 2018: computer rights are also given to nurses to prescribe Midline only the doctor is allowed to prescribe PICC-line or Midline. Jan.–June
Slide 9: Our daily practice
Our daily practice Agree or Disagree ??? Medical Demands • Doctors Final decision at the intervention : Doctor or Delegated Nurse IDE Demands • Nurses PICC-line Midline
Slide 10: Distribution of requests
Distribution of requests 208 250 100 200 127 150 0 79 82 IDE Demands 100 Medical demands 50 Unscheduled demands 0 January to June July to December Unscheduled demands Medical demands IDE Demands
Slide 11: Nursing demand does not change unscheduled requests for catheters
Nursing demand does not change unscheduled requests for catheters inserted during the study period 309 287 82 27.1 79 27.5 Total UD % UD *UD: Unscheduled January to June July to December Demands
Slide 12: Nursing demand is changing the choice of catheters prescribed
Nursing demand is changing the choice of catheters prescribed during the study period 238 178 250 200 150 109 71 100 50 0 January to June July to December PICC-line Midline
Slide 13: Discussion: Exclusive approach or global vision?
Discussion : Exclusive approach or global vision? Vascular Access Team Institutional engagement: sharing knowledge and skills with healthcare teams Learning, Derogation in the nurses role Standardization of practices, Referent doctor of the unit validates the derogation Availability of the posers (d
Slide 14: Conclusions
Conclusions Allowing a nurse to prescribe a vascular access: • Is helpful and make practices in the healthcare process easier • Promotes an holistic approach that meets the patients needs • Saves medical time
Slide 15: Acknowledgments
Acknowledgments Vascular Access Team of GHT Baud marie pierre, Begni sandrine, Blin Bruno, Bonnefoy Jean Julie for your help Pierre, Boulain C, Bourges Maryline, Burette M, Charlet Valerie, PhD Student, Cormery Ludovic, Delongeville Violaine, Drean MP, Dussaud Jean Instituteof Neuroscience Yves, Eni
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