IJIMS.2019.117

Type of Article: Original Research

Volume 6; Issue 5: 2019

Page No.: 836-838

DOI: 10.16965/ijims.2019.117

USE OF VISUAL INFUSION PHLEBITIS (VIP) SCORE TO CARE AND CONTROL INTRAVENOUS (IV) INFUSION RELATED PHLEBITIS

Manashi Sengupta *.

SankarMadhab College of Nursing, Assam down town University, Guwahati, Assam, India.

Address for Correspondence: Prof (Mrs) Manashi Sengupta, SankarMadhab College of Nursing, Assam down town University, Guwahati, Assam, India. E-Mail: manashi_sengupta@rediffmail.com

ABSTRACT:

Phlebitis is the inflammation of vein which is a common complication associated with the use of peripheral intravenous (IV) catheters affecting between 27% and 70% of all patients receiving IV therapy and association with up to 10% of S.Aureus bacteremia. Importance factors found to determine phlebitis incidence include the kind of infusion and dwell time of intravenous cannula. The use of the visual infusion phlebitis (VIP) score tool for the assessment of the early signs of phlebitis along with prompt removal of peripheral intravenous cannula has been very successful in reducing below the acceptable rate of 5%. However, achieving this goal depends on strict compliance with guidelines for cannula insertion, documentation and assessment using the VIP tool.

This study aimed to increase the use of VIP scoring tool in the intensive care units and wards during a 6 months period in order to maximize its utility in phlebitis prevention. Nursing audit was carried out, during which assessment and plan of actions were introduced. The first step aimed to make the nurses aware of VIP scoring tool by the use of posters and training sessions.  Second the assessment of nurses’ knowledge and skill related to the intravenous cannula insertion and use of VIP score tool for the early detection and prompt action related to the care and control of infusion related phlebitis and its documentation.

Key words: VIP score, Phlebitis.

REFERENCES

  1. Boyd, S. Aggarwal, I et al Peripheral intravenous catheters: the road to quality improvement and safer patient care. Journal of Hospital Infection 2011;77(1):37-41.
  2. Gallant, P. Alyce, A.Schultlz Evaluation of a visual infusion phlebitis scale for determining appropriate discontinuation of peripheral intravenous catheters. Journal of Infusion Nurse 2006;29(6):338-45.
  3. Tzolos,E, Salawu, A.Improving the frequency of visual infusion phlebitis (VIP) scoring on an oncology ward BMJ Quality Improvements Reports 2014w2364 doi: 10.1136/bmjquality.u205455.w2364.
  4. Alexandrou, Evan, Ray-Barrue,l G et al International Prevalence of the Use of Peripheral Intravenous Catheters. Journal of Hospital Medicine. 2015;10(8):530-33.
  5. Urbanetto ,J ,Cibelle G P,and Tássia A M Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removalPublished online 2016 Aug 8. doi:  10.1590/1518-8345.0604.2746.
  6. Singh, R., Bhandary, S., & Pun, KD. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU Teaching Hospital. Kathmandu University Medical Journal 2008;6(4):443-447.

Download Full Text TOC