Survey of Peripheral Intravenous Injection Skills to Compare the Success Rate and the Time Required in Relation to the Years of Experience

Wednesday, 9 July 2008
Shotaro Sumitani, RN , School of Nursing, Seirei Christopher University, Hamamatsu,Shizuoka, Japan
Yoriko Watanabe, PhD, RN , School of Nursing, Seirei Christopher University, Hamamatsu, Shizuoka, Japan
Emiko Shinozaki, RN, MSN , School of Nursing, Seirei Christopher University, Hamamatsu, Sizuoka, Japan

Learning Objective 1: The learner will be able to know differences in the success rate of vascular access and the time required in relation to the experience.

Learning Objective 2: The learner will be able to get the basic data for the training of nursing skills.

Objectives: To survey peripheral intravenous performed by nurses. To compare differences in the success rate of vascular access and the time required in relation to the years of experience.

Method: We observed the peripheral intravenous procedures as carried out by 90 clinical nurses. The success rate of vascular access and the time required for peripheral intravenous by newly graduated nurses (less than 1 year of experience), mid-career nurses (1 to 3 years of experience), and experienced nurses (4 or more years of experience) were measured.The time required for the following was measured: (1) preparation, (2) informed consent/patient education, (3)site selection, (4) sterilization of the access site, (5) placement of the needle, (6) site dressing/stabilization, (7) flow control, and (8) clearance.

Results: 1. In the first time,The success rates of vascular access were 35% by the newly graduated nurses, 44% by the mid-career nurses, and 76% by the experienced nurses.2. The items showing a significant difference in the time required between the newly graduated nurses and the experienced nurses included the following: (1), (3), (5), (6), (7), and (8). The time required for these items was significantly longer for the newly graduated nurses.

Discussion: The success rate of vascular access for the newly graduated nurses was low, and therefore intervention for improving their skill is necessary. Regarding the approach to improving the skills, the characteristics of the nurses' procedures, specifically in (1), (3), (5), (6), (7), and (8), need to be analyzed.

Conclusion: 1. The success rates of vascular access were 35% by the newly graduated nurses, 44% by the mid-career nurses, and 76% by the experienced nurses.2. The time required for (1), (3), (5), (6), (7), and (8) was significantly longer for the newly graduated nurses than for the experienced nurses.