Introduction

Peripheral venous catheters (PVC) are devices that are inserted intravenously usually inserted into the veins of the forearm, the hand and occasionally the lower limbs of patients. They are used to administer intravenous fluids, drugs, blood products and at times Total parental Nutrition (TPN) until a longer term line can be sited.

 

Purpose

This policy outlines measures that shall be implemented to reduce the risk of infectious and non-infectious complications in any adult with a PVC. Therefore a Peripheral Cannula Insertion Pack must be used when inserting a PVC. The exception being an emergency situation or the cannula is sited for a short duration procedure and then promptly removed.

 

Background

Intravascular catheter-related infections are systemic infections which have a vascular access device (VAD) catheter as the source. Every year in the UK an estimated 6,000 patients develop a catheter-related blood stream infection (CR-BSI) (Elliot, 2001). The infections are associated with a high morbidity and mortality, particularly in hospitalised patients.

Catheter Related Blood Stream Infection’s (CRB-SI’s) are caused by micro-organsims, such as Staphylococcus aureus and Staphylococcus epidermis. These organisms found on the patient’s skin contaminate the catheter during insertion, or migrate along the catheter track. Contaminated fluids and equipment, cross infection and colonised hands are also factors implicated in catheter related infection.

 

Policy Details

Download: PDF version
Compiled by: The Infection Control Team
Ratified by: Clinical Governance Committee
Date Ratified: April 2018
Date Issued: May 2018
Review Date: April 2019
Target Audience: All staff
Contact name: Ann Birler, Nurse Consultant / Deputy Director of Infection Prevention and Control

 

See also:

  • Procedure for insertion of peripheral venous catheters
  • Procedure for removal of peripheral venous catheters
  • Competency for removal of peripheral venous catheters
  • Competency for administration of intravenous drugs
  • Aseptic Technique Policy