Abstract

LOVERA MONTILLA, Luis Alexander; RAIGOSA VILLA, Sandra Milena  and  VASQUEZ TRUISSI, Martha Lucía. Pilot study to evaluate a protocol in nursing infants from a tertiary hospital. Univ. Salud [online]. 2012, vol.14, n.2, pp.139-146. ISSN 0124-7107.

Introduction: The installation of a percutaneously inserted central catheter is an action of the nurse, which is a strategy of care. Objective: To evaluate the compliance of the insertion protocol of the percutaneously inserted central catheter in a Neonatal Intensive Care Unit in the city of Medellin, Colombia. Methodology: Descriptive study conducted between March-April 2012, for which a non-probability sampling was used and three checklists were implemented (insertion, healing and monitoring) to evaluate the insertion process. Results: The insertion protocol compliance was 92%. Some relevant aspects for the insertion are highlighted: the most commonly used catheter was the one made with one piece (83.3%), the antecubital region was the place where the catheter was most frequently used (41.7%), intracardiac catheter tip was the site where the catheter was most frequently placed (25%), The average residence time of the catheter was of 10 days and the main reason for removal was the completion of treatment (70%), followed by the presence of phlebitic cord (20%). Conclusions: There is a high adherence to the protocol, possibly because during the service, standards are frequently revised and on the other hand, the continuing education of nurses. However, the most relevant complication was phlebitic cord, probably because of the displacement of the catheter tip and the continued infusion of parenteral nutrition of high osmolarity.

Keywords : Catheter; nursing; phlebitis; newborn.

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