Amy Jo Lisanti1, Jamie Fitzgerald2, Stephanie Helman2, Spencer Dean2, Andrea Sorbello2, Heather Griffis2. 1. Amy Jo Lisanti is a Ruth L. Kirschstein NRSA Postdoctoral Fellow at the University of Pennsylvania School of Nursing in Philadelphia and a clinical nurse specialist/nurse researcher at Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Jamie Fitzgerald is a safety and quality specialist at Children's Hospital of Philadelphia. Stephanie Helman was a clinical nurse specialist at Children's Hospital of Philadelphia when the study was done. She is now a doctoral student at the University of Pittsburgh, Pittsburgh, Pennsylvania. Spencer Dean is a staff nurse in the cardiac intensive care unit at Children's Hospital of Philadelphia. Andrea Sorbello is a nurse practitioner and advanced practice provider team lead at Children's Hospital of Philadelphia. Heather Griffis is director of the Health Care Analytics Unit at Children's Hospital of Philadelphia. lisanti@email.chop.edu. 2. Amy Jo Lisanti is a Ruth L. Kirschstein NRSA Postdoctoral Fellow at the University of Pennsylvania School of Nursing in Philadelphia and a clinical nurse specialist/nurse researcher at Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Jamie Fitzgerald is a safety and quality specialist at Children's Hospital of Philadelphia. Stephanie Helman was a clinical nurse specialist at Children's Hospital of Philadelphia when the study was done. She is now a doctoral student at the University of Pittsburgh, Pittsburgh, Pennsylvania. Spencer Dean is a staff nurse in the cardiac intensive care unit at Children's Hospital of Philadelphia. Andrea Sorbello is a nurse practitioner and advanced practice provider team lead at Children's Hospital of Philadelphia. Heather Griffis is director of the Health Care Analytics Unit at Children's Hospital of Philadelphia.
Abstract
BACKGROUND: Transthoracic intracardiac catheters are central catheters placed in the operating room at the conclusion of cardiac surgery for infants and children. Complications associated with these catheters (eg, bleeding, migration, premature removal, infection, leakage, and lack of function) have been described. However, no researchers have addressed the nursing management of these catheters in the intensive care unit, including catheter dressing and securement, mobilization of patients, and flushing the catheters, or the impact of these interventions on patients' outcomes. OBJECTIVES: To internationally benchmark current nursing practice associated with care of infants and children with transthoracic intracardiac catheters. METHODS: In a cross-sectional, descriptive study of nursing practice in infants and children with transthoracic intracardiac catheters, a convenience sample of bedside and advanced practice nurses was recruited to complete an online survey to benchmark current practice. The survey included questions on criteria for catheter insertion and removal, dressing care, flushing practice, securement, and mobilization of patients. RESULTS: Transthoracic intracardiac catheters are used by most centers that provide care for infants and children after open heart surgery. A wide range of practices was reported. CONCLUSIONS: Standardizing the use and care of transthoracic intracardiac catheters can improve the safety and efficacy of their use in infants and children and promote safe and early postoperative mobilization of patients.
BACKGROUND: Transthoracic intracardiac catheters are central catheters placed in the operating room at the conclusion of cardiac surgery for infants and children. Complications associated with these catheters (eg, bleeding, migration, premature removal, infection, leakage, and lack of function) have been described. However, no researchers have addressed the nursing management of these catheters in the intensive care unit, including catheter dressing and securement, mobilization of patients, and flushing the catheters, or the impact of these interventions on patients' outcomes. OBJECTIVES: To internationally benchmark current nursing practice associated with care of infants and children with transthoracic intracardiac catheters. METHODS: In a cross-sectional, descriptive study of nursing practice in infants and children with transthoracic intracardiac catheters, a convenience sample of bedside and advanced practice nurses was recruited to complete an online survey to benchmark current practice. The survey included questions on criteria for catheter insertion and removal, dressing care, flushing practice, securement, and mobilization of patients. RESULTS: Transthoracic intracardiac catheters are used by most centers that provide care for infants and children after open heart surgery. A wide range of practices was reported. CONCLUSIONS: Standardizing the use and care of transthoracic intracardiac catheters can improve the safety and efficacy of their use in infants and children and promote safe and early postoperative mobilization of patients.
Authors: Adegboyega K Lawal; Thomas Rotter; Leigh Kinsman; Andreas Machotta; Ulrich Ronellenfitsch; Shannon D Scott; Donna Goodridge; Christopher Plishka; Gary Groot Journal: BMC Med Date: 2016-02-23 Impact factor: 8.775
Authors: Amy J Lisanti; Abigail C Demianczyk; Andrew Costarino; Maria G Vogiatzi; Rebecca Hoffman; Ryan Quinn; Jesse L Chittams; Barbara Medoff-Cooper Journal: J Obstet Gynecol Neonatal Nurs Date: 2020-11-09