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Learning Objective 1: know the actual situation regarding the prohibited reinsertion of a needle into a catheter in the event of the peripheral short catheter placement .
Learning Objective 2: know difference of the ratio to reinsertion of a needle into a catheter by nurses according to yars of experience.
[Method] The subjects comprised 90 nurses: 20 new nurses(less than 1 year of experience), 25 mid-career nurses(1 to 3 years of experience), and 45 experienced nurses.We videotaped how nurses placed a catheter into a nurse who played the role of a patient. We checked whether they reinserted a needle into the catheter.
[Results] 1.13 new nurses (65%), 15 mid-career nurses (60%), and 20 experienced nurses (44%) each reinserted a needle into the catheter. 2.12 new nurses (60%), 13 mid-career nurses (52%), and 12 experienced nurses (27%) each reinserted a needle before the skin had been punctured. 3.2 new nurses (10%), 8 mid-career nurses (32%), and 11 nurses (24%) each reinserted a needle after the skin had been punctured.
[Discussion] Reinsertion after a needle in a catheter has been partially or completely removed may shear the catheter and is thus contraindicated in the instruction manual for the device. When a needle is removed from a catheter after the needle has been inserted into the skin, the catheter may become distorted, so the reinsertion of the needle constitutes an especially high risk. It is necessary to pay attention to mid-career nurses, because they showed a higher ratio of reinsertion after the skin had been punctured.
[Conclusion] 1.65%of new nurses, 60% of mid-career nurses, and 44% of experienced nurses reinserted a needle into the catheter. 2.32%of mid-career nurses reinserted a needle after the skin had been punctured. This is the highest rate among the 3 groups.