Indonesian Contemporary Nursing Journal (ICON Journal)
Volume 3 No. 1 Agustus 2018

Replacement Peripheral Intravenous Catheters With Clinical Indication for Patient Convenience, Cost Efficiency and Reducing Nurses Workload

Narmawan Nurmawan (STIKES Karya Kesehatan Kendari)
Ida Djafar (Prodi Keperawatan Ambon, Politeknik Kesehatan Kemenkes Maluku)
Hasnani Hakim (RSUD H. Andi Daeng Radja Bulukumba)
Harmiati Syafril (RSUD H. Andi Daeng Radja Bulukumba)
Syahrul Syahrul (Bagian Keperawatan Komunitas dan Keluarga, Fakultas Keperawatan, Universitas Hasanuddin, Makassar)
Syahrul Ningrat (Bagian Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Hasanuddin Makassar)



Article Info

Publish Date
30 Aug 2018

Abstract

Introduction: PIVCs (Peripheral Intravenous Catheters) have been widely used for clinical medical care which is having risk for phlebitis occurence. IV catheter replacement is performed when there is clinical indication such us phlebitis. The consequence of this action is patient convinence, nurse workload and patient care cost efficiency. Methode: A longitudinal study with experimental results of evidence based practice on replacement of PIVSc with clinical indication  as an effort to improve patient convinience, cost efficiency and reduce nurse workload in 41 patients. Result: 41 patients attached PIVCs, 100% wanted IV catheter replacement if there was any clinical indication. 68% of patients said very uncomfortable if IV catheter routinely replaced. 16 nurse (56.25%) said there is no need to replace IV catheter regularly. 43.75% of nurses felt IV catheters rountine replacement increased the working time and 50% of the nurses felt that nurses workload was increased. Conclusions: IV catheter replacement can be performed if there is cinical indication because it can improve patient convenience, increase cost efficiency and reduce nurse workload.

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