Mr Robert Robinson1, Ms Louise Maher1, Ms Rondelle Jenkins1
1Nepean Blue Mountains Local Health District, Penrith, Australia
A review of Peripheral Intravenous Cannula (PIVC) and Central Venous Access Device (CVAD) needleless valve products was undertaken in 2016 by the Vascular Access Working Group (VAWG) at Nepean Blue Mountains Local Health District (NBMLHD). Needleless valve devices have been in use for many years in healthcare and the current devices used across NBMLHD needed to be reviewed and change.
Regular VAWG meetings occurred with key healthcare stakeholders across a variety of speciality areas and support from the chosen company. Key strategies included a timeline of events in the months prior to trialling, education / training across multi disciplines, communication by different streams and procurement support. A trial of the devices was too difficult to manage in selected locations; a decision was made for a hospital wide approach with continuation, unless patient safety issues were identified.
Education and communication across the facility and organisation occurred before, during and after the trial period. This included support from the company in providing flyers, educational material and ongoing training. This resulted in the successful implementation of these two devices. There was no identified patient safety or education concerns during this time.
The transition from one product device to another can be achieved with thorough planning, achievable timelines and support from all relevant staff within the organisation and the chosen company. In this case, the months leading to the start date was essential in ensuring a successful implementation change within a large tertiary hospital and across NBMLHD facilities / services.
Robert is a Clinical Nurse Consultant for the Infection Control services at Nepean Blue Mountains Local Health District. He has 27 years of nursing experience with a clinical background in surgical, medical, paediatrics and management across both public and private hospitals. Robert’s academic qualifications includes a Diploma of Health Science (Nursing), Bachelor of Health Science (Nursing), post graduate certificate in Infection Control, and he is an accredited nurse immuniser. Robert has presented at state SRACA (Sterilisation), OTA, Wound care and Infection Control conferences and had posters accepted for presentation. He has 12 years of experience in his speciality and is passionate about promoting best Infection Control practices through education and training.