Publicar

138 - PREVENÇÃO DE INFEÇÕES ASSOCIADAS AOS CUIDADOS DE SAÚDE RELACIONADAS COM A MANUTENÇÃO DO CATETER VENOSO PERIFÉRICO: DIAGNÓSTICO SITUACIONAL

Doi: 10.47094/978-65-284-0495-7/1230-1239

PALAVRAS CHAVE: Cateter venoso periférico. Infeções Associadas aos Cuidados de Saúde. Enfermagem.

KEYWORDS: Peripheral venous catheter. Healthcare-Associated Infections. Nursing.

ABSTRACT:
The present continuous improvement project focuses on mitigating the risk of Healthcare-Associated Infections (HAIs) resulting from the maintenance of Peripheral Venous Catheters (PVC) in an Internal Medicine Ward. Based on a situational diagnosis grounded in national and international epidemiological evidence, five critical hazards were identified: the high number of PVCs without an active clinical indication, the restrictive assessment of signs of phlebitis, inadequate insertion and maintenance practices, the unnecessary prolongation of dwell time, and gaps in surveillance records. The proposed intervention relies on a multimodal strategy structured around three fundamental pillars: the adoption of the Visual Infusion Phlebitis Scale (VIPS), in its validated Portuguese version (VIP PT-PT), for the systematic monitoring of the insertion site; the implementation of an evidence-based care bundle; and the institution of a nursing autonomy protocol for the early discontinuation of obsolete devices. Using the continuous improvement methodology (Plan, Do, Check, Act - PDCA), the project aims to significantly reduce the rates of phlebitis and Catheter-Related Bloodstream Infection (CRBSI), promoting a patient-centered safety culture supported by measurable and auditable process and outcome indicators. This chapter will present the theoretical foundation and diagnostic assessment of the project.

Autores

  • Ana Paula Durães Moreira

  • Carina Rafaela da Silva Martins

  • Cármen Dolores Linhares Garrido

  • Diana Maria Alves Ferreira

  • Maria Helena de Oliveira Penaforte

  • Teresa Adelaide Ribeiro Pereira

Download