Want to achieve 1 PIV per patient?

We can help.

In the United States, PIV catheter failure rates average 53%, with one of every two catheters failing to make it to treatment’s end. The causes of these high failure rates are a result of common PIV complications (infiltration, extravasation, phlebitis, catheter occlusion, CR-BSIs and dislodgment).

In an effort to improve upon PIV success rates, Lee Steere, RN, CRNI®, VA-BC™ performed a prospective, multi-modal comparator study with IRB approval at Hartford Hospital in Hartford, CT. The purpose of the study was to demonstrate that PIV dwell times will increase, and adverse outcomes decrease when the PIV is inserted by an IV specialist using a bundled approach.

PIV5R Arm results table

To get the right result, you need the right approach.

Correctly applying the PIV Five Rights helps address the various modes of PIV failure, including occlusions, infiltrations, dislodgement, phlebitis and others. And it also brings you one giant leap forward towards one PIV per patient.

Right Proficiency

A skilled, trained nurse (preferably an IV nurse) who has been trained and is proficient in ultrasound guided IV placement

Right Insertion

Using correct insertion technique – Use of Ultrasound/near infrared for vascular assessment and 1st attempt successful sticking

Right Vein & Catheter

Placed in the forearm in the cephalic vein about 3” below the antecubital fossa to optimize Vessel Health and Preservation

Right 5 Supplies & Technology

  1. Procedural kit for compliance to the hospital’s protocol.
  2. 22g / 1.75” catheter to optimize the vein to catheter ratio.
  3. Anti-reflux needleless connector designed to deliver IV catheter patency 24/7.
  4. Alcoholic chlorhexidine skin preparation to reduce the bacteria at the insertion site.
  5. Chlorhexidine bordered securement dressing designed to stabilize and protect the catheter site for at least 7 days.

Review & Assessment

Correct flushing, assessment, care and management

PIV5R™ Resources

PIV5R™ Cost Calculator

Fill out the Contact Form below to access a broad range of templated resources used by the author to implement the PIV Five Rights™ program at his hospital. Available tools include a printable How-To Guide, project documents and worksheets, and a Cost Calculator that estimates your potential hospital savings.

Downloads

About Lee Steere

Lee Steere (RN, CRNI, VA-BC) holds national certification in Certified Registered Nurse Infusion as well as Vascular Access Board Certification. An RN for 21 years, he is the Manager of IV Therapy Services at Hartford Hospital in Harford, CT. He co-chairs the hospital’s Medical-Surgical Clinical Value Analysis Committee and is a member of their HAI Committee.

As an experienced speaker, Steere has presented at regional and national INS and AVA conference meetings. His AVA 2017 presentation on Patient’s 5 Rights was based on his recently published Lean Six Sigma for Intravenous Therapy Optimization: A Hospital Use of Lean Thinking to Improve Occlusion Management/March 2017 JAVA.

Lee Steere

Want better PIV results? Get more information about PIV5R.

Fill out the Contact Form below to access a broad range of templated resources used by the author to implement the PIV Five Rights™ program at his hospital. Available tools include a printable How-To Guide, project documents and worksheets, and a Cost Calculator that estimates your potential hospital savings.