Learning Objective #1: Understand IVAD-related infection relationship to nursing work

Learning Objective #2: Understand possible complications associated with IVADs as well as appropriate nursing interventions

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Implantable Vascular Access Devices (IVADs) have been used for patients with cancer for more than 20 years. Although IVADs are common, they give microorganisms easily entered into the bloodstream infection and cause serious infection. IVAD-related infection is not only a dangerous complication for cancer patients but also a costly one. The purpose of the project was to reduce the infection Rate of Implantable Vascular Access Devices. In 2003, twelve events occurring in the oncology unit were analyzed. The probable factors associated with IVAD-related infection are as follows: (1) not to be implemented an aseptic technique by nursing staff when flushing and administering medication, (2) inconsistent selection for type of dressing, (3) used the materials of a catheter hub cap can't keep airtight for the catheter, (4) irregular evaluation of the infection signs in the IVADs care performed by nursing staff, (5) the lack of knowledge about IVADs care for the besides clinician. Through bedside observation continuously, analysis of the current problems, establishment of audit team, literature search, development of an educational plan for nursing staff, the appropriate selection of dressings, change the materials of cap, teach correct ways of aseptic technique, daily critical evaluation of IVADs and revision of the standard procedures for 1 year, the results that only four events happening were analyzed in the oncology unit in 2004. Implementation of an evidence-based procedure is a challenging task. The project was a successful experience and one that hopefully can facilitate the quality of cancer care.