Literature DB >> 24699166

Implementation of a nurse-delivered intravitreal injection service.

J DaCosta1, R Hamilton1, J Nago1, A Mapani1, E Kennedy1, T Luckett1, C Pavesio1, D Flanagan1.   

Abstract

PURPOSE: The purpose of this study was to introduce nurse-delivered intravitreal injections to increase medical retina treatment capacity.
METHODS: Indemnity, clinical governance, training, planning, and implementation issues were addressed. The outcome measures were patient safety, patient experience, and clinic capacity.
RESULTS: No serious vision-threatening complications were recorded in a consecutive series of 4000 nurse-delivered intravitreal injections. A Mann-Whitney test showed a significant increase in intravitreal injections (P=0.003) in the medical retina service after introduction of nurse-delivered intravitreal injections. The majority of patients accepted and were satisfied with a nurse-delivered intravitreal injection. DISCUSSION: Nurse-delivered intravitreal injections appear safe, acceptable to patients, and are an effective means to increase intravitreal injection capacity in medical retina clinics.

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Year:  2014        PMID: 24699166      PMCID: PMC4058629          DOI: 10.1038/eye.2014.69

Source DB:  PubMed          Journal:  Eye (Lond)        ISSN: 0950-222X            Impact factor:   3.775


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