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Fluids & Electrolytes
The "Nursing2007 Infection Control Survey Report" (June 2007)* was a great article, but I'd like to clarify one point. Discussing a question about how often peripheral I.V. catheters should be replaced, the authors reported that 6% of the respondents incorrectly answered "once a week or as needed." (The correct answer for adults, based on Infusion Nurses Society guidelines, was "every 72 hours or as needed.") In the discussion, the authors didn't acknowledge that once a week could be correct for pediatric patients. The Centers for Disease Control and Prevention recommends that a child's peripheral I.V. catheters be left in place until I.V. therapy is completed, unless a complication such as phlebitis or infiltration occurs.
LINDA HARRINGTON, RN, CNS, CPHQ, PHD
Infusion Nurses Society. Infusion Nursing Standards of Practice. Journal of Infusion Nursing. 29(1, Suppl.):S1-S92, January/February 2006
O'Grady NP, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recommendations and Reports. 51(RR10):1-26, August 9, 2002. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm.
*Individual subscribers can access this article free online at http://www.nursing2007.com[Context Link]
Send comments to Letters Editor, Nursing2007, 323 Norristown Road, Suite 200, Ambler, PA 19002-2758. Or send e-mails (no attachments, please) to Betsy.Lowe@wolterskluwer.com. Please include your name, credentials, complete mailing address, e-mail address (if applicable), and daytime phone number. Letters are edited for content, length, and grammar.
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