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Abstract: PO1335

The Integrated Program of Needle Dislodgement Bleeding Alarm System Is Associated with a Decreased Incident of Venous Needle Dislodgement or Bleeding

Session Information

  • Vascular Access
    October 22, 2020 | Location: On-Demand
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 704 Dialysis: Vascular Access

Authors

  • Hsin, Chi yang, An Nan Hospital, China Medical University, Tainan, Taiwan, Tainan City, Taiwan
  • Lin, Hsuan Ming, An Nan Hospital, China Medical University, Tainan, Taiwan, Tainan City, Taiwan
  • Hu, Hsiang Wei, National Cheng Kung University, Tainan City, Taiwan
Background

A puncture of vascular access is commonly used in clinical treatment, such as hemodialysis or central venous catheters. There are some devices for detecting the presence of needle dislodgement in the market. Still, there are no large-scale reports for the integrated program for nursing training and device implantation. This study aims to conduct a program for an integrated training course and the VND device. We hope to reduce the incidence of needle removal and blood leakage.

Methods

This study was divided into two phases, the control period, and the study period. In the control period, the abnormal events of venous needle dislodgement and blood leakage was recorded in the hemodialysis unit room during the first three months. Before the study period, we introduced an integrated program, including the standard process of fistula puncture, care during hemodialysis, an inspection of the venous puncture site and an alarm system. In the study period, we also conducted the standard program and collected the data of the events of venous dislodgement or bleeding.

Results

The control period was conducted from July 2019 to September 2019, and the study period was performed in November 2019. A total of 62 patients completed the study. During the control period, there were a total of 2087 dialysis treatments, of which 30 patients had venous needle dislodgement or bleeding. There were a total of 71 events of venous needle dislodgement or bleeding, and the incidence rate was 3.3 events per 100 sessions. There were a total of 682 dialysis sessions and 15 events of venous needle dislodgement or bleeding during the study period. The incidence rate was 2.1 events per 100 sessions. The incidence rate of moderate and severe cases were 1.1 events per 100 sessions in the control period and 0.3 events per 100 sessions in the study period.

Conclusion

This study introduced venous needle dislodgement or bleeding alarm system and training program in the hemodialysis unit. The incidence of venous needle dislodgement or bleeding was lower after the program The incidence rate in the moderate and severe groups was also decreased. This program can improve the quality of patient care.

Funding

  • Commercial Support