Routine Versus Clinically Indicated Short Peripheral Catheter Replacement: An Evidence-based Practical Project
Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1.9% to 3.5%, and SPC use decreased by 14.2%, resulting in estimated cost savings of $2100 and 70 hours of nursing time saved. The translation of evidence on timing of SPC replacement into practice was a success.
Stevens, C., Milner, K.A., Trudeau, J. (2018). Routine versus clinically indicated short peripheral catheter replacement: An evidence-based practice project. Journal of Infusion Nursing, 41(3), 198-204. doi:10.1097/NAN.0000000000000281
Journal of Infusion Nursing