Care and Maintenance to Reduce Vascular Access Complications

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Care and Maintenance to Reduce Vascular Access ComplicationsSTEP 3 – Search Engine Web SearchA website search for existing guidelines was conducted via the search engine “Google”, using the searchterms identified above. One individual conducted this search, noting the search term results, the websitesreviewed, date and a summary of the findings. The search results were further critiqued by a secondindividual who identified guidelines and literature not previously retrieved.STEP 4 – Hand Search/Panel ContributionsAdditionally, panel members were already in possession of a few of the identified guidelines. In someinstances, a guideline was identified by panel members and not found through the previous searchstrategies. These were guidelines that were developed by local groups or specific professional associations.STEP 5 – Core Screening CriteriaThis above search method revealed nine guidelines, several systematic reviews and numerous articlesrelated to care and maintenance of vascular access devices.The final step in determining whether the clinical practice guideline would be critically appraised was tohave two individuals screen the guidelines based on the following criteria. These criteria were determinedby panel consensus:■Guideline was in English;■ Guideline was dated no earlier than 2000;■■■Guideline was strictly about the topic area;Guideline was evidence based, andGuideline was available and accessible for retrieval.RESULTS OF THE SEARCH STRATEGYThe results of the search strategy and the decision to critically appraise identified guidelines are itemizedbelow. Nine guidelines met the screening criteria and were critically appraised using the Appraisal ofGuidelines for Research and Evaluation (AGREE) Instrument (AGREE Collaboration, 2001).62
Nursing Best Practice GuidelinePRACTICE GUIDELINES RETRIEVED AND CRITICALLY APPRAISED■Centers for Disease Control and Prevention. (2002). Guidelines for the prevention of intravascularcatheter-related infections. Morbidity and Mortality Weekly Report (MMWR), 51 (No. RR-10), 1-29■Department of Health. (2001a). Guidelines for preventing infections associated with the insertionand maintenance of central venous catheters: Introduction. Journal of Hospital Infection, 47, S13-S19■Department of Health. (2001b). Guidelines for preventing infections associated with the insertionand maintenance of central venous catheters. Journal of Hospital Infection, 47, S47-S67■Evidence Based Practice in Infection Control. (2001a). The EPIC project: Developing nationalevidence-based guidelines for preventing hospital-acquired infections. National evidence-basedguidelines for preventing hospital-acquired infections associated with the use of central venouscatheters. Technical report part A. Available: http://www.epic.tvu.ca.uk/epicphase/epic1.html■Evidence Based Practice in Infection Control. (2001a). The EPIC project: Developing nationalevidence-based guidelines for preventing hospital-acquired infections. National evidence-basedguidelines for preventing hospital-acquired infections associated with the use of central venouscatheters. Technical report part B. Available: http://www.epic.tvu.ca.uk/epicphase/epic1.html■Intravenous Nurses Society (2000). Infusion nursing: Standards of practice. Journal of IntravenousNursing, 23, S1-S88■Oncology Nursing Society. (2001). Chemotherapy and biotherapy guidelines andrecommendations for practice. Pittsburgh: Author.■Oncology Nursing Society. (2004). Access device guidelines: Recommendations for nursing practiceand education. Pittsburgh: Author.■Royal College of Nursing. (2003). Standards for infusion therapy. London: Author.63
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