The purpose of this study was to find out a current practice trend of intravenous therapy among tertiary hospitals. 180 cases(90%) out of 200 cases were collected from forty hospitals.
The questionnaire was comprised of seven major categories, with questions related to flushing and dressing protocols, types of vasculr access device used, the availability of equipment, and educational experiences.
The results of this study showed that scalp needle were used infrequently, while plastic catheters were used more frequently in peripheal IV therapy(95%). Nontunneled catheters were used more frequently than tunneled catheter, implanted port and PICC for central venous catheters.
Types of flushes is categorized into two : heparinized and non-heparinized. Flushing procedures used demonstrated a lack of consistency throughout the hospitals. The type of dressing used, the skin preparation, change frequency, and techniques in dressing procedures were inconsistent. Tubing change intervals were varied from 24 hours to 72 hours.
Participation of nurses in intravenous therapy is the highest in peripheral IV cannula insertion(65.4%), whereas the lowest percent were recorded in peripherally inserted central venous catheter dressing, transfusion and chemotherapy.
69.5% of the respondents answered that they received training of total 17 items which are the necessary elements for the IV therapy practice.
In conclusion, Standardization of IV therapy protocols is needed for the nursing practice. Participation of nurses in intravenous therapy is also needed to be encouraged to expand their role. Training and reeducation to nurses are needed about intravenous therapy practice.
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