We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Parker Laboratories

  Gold Manufactures medical ultrasound and electromedical contact media, including gels, solid gels, lotions and pads read more Featured Products: More products

Download Mobile App




Events

ATTENTION: Due to the COVID-19 PANDEMIC, many events are being rescheduled for a later date, converted into virtual venues, or altogether cancelled. Please check with the event organizer or website prior to planning for any forthcoming event.
30 Jan 2023 - 02 Feb 2023

Standardized Ultrasound-Guided PIV Insertions Improve Outcomes and Reduce Costs

By MedImaging International staff writers
Posted on 06 Oct 2022
Print article
Image: An innovative sterile barrier dressing, UltraDrape significantly reduces cost and staff time (Photo courtesy of Parker Labs)
Image: An innovative sterile barrier dressing, UltraDrape significantly reduces cost and staff time (Photo courtesy of Parker Labs)

The use of ultrasound raises significant challenges: the presence of both the ultrasound probe and gel on at the sterile insertion site can contribute to contamination. In addition, gel requires difficult clean up, and any gel left on the skin reduces the adherence of the dressing, increasing the chances of dressing failure. Now, a new study has shown that standardizing ultrasound-guided peripheral intravenous (PIV) insertions in a hospital setting using an innovative sterile barrier dressing reduced costs by 73% and staff time for insertions by 50%, while also improving both patient and nursing staff satisfaction.

The study by PICC Excellence (St Hartwell, GA, USA) was done at a medium-sized hospital with 245 beds and an emergency department that sees about 160 patients per day. A five-member vascular access team manages about 90 ultrasound-guided insertions per month. As part of a quality improvement initiative, researchers evaluated existing procedures for ultrasound-guided PIV insertions. They found significant procedural and supply variations among the departments. While the hospital did consistently use a Central Line Dressing Kit for each insertion, researchers observed that inserters wasted some of the more expensive components of the Kit. In addition, patients reported dissatisfaction because some insertions required multiple attempts.

To test possible solutions to these problems, the hospital switched to a standardized approach using an intravenous Start Kit with a sterile barrier ultrasound dressing called UltraDrape from Parker Laboratories Inc. (Fairfield, NJ, USA). In the standardized procedure, inserters first mark the selected site and apply the folded UltraDrape dressing to the skin. The ultrasound gel is applied to the back side of the dressing for ultrasound probe position and guidance during the insertion. Finally, the gel layer of the dressing is lifted off, and the dressing pulled down over the catheter, creating a sterile transparent dressing cover.

When the hospital switched to the standardized procedure, the data collected demonstrated impressive results. The average cost of supplies per insertion dropped from USD 25.32 to USD 6.71, which would add up to savings of more than USD 20,000 per year. In addition, the time required for each insertion was reduced from 6.51-12.14 minutes to just 3.2-4.25 minutes. Moreover, both patients and staff reported being far happier because of quicker insertions and fewer failed attempts. UltraDrape is simple to use, cost effective and faster than using standard probe covers. Using ultrasound to guide PIV insertions also improves the success rate for insertions, especially for patients with more co-morbidities requiring special skill with visualization technology.

“Our study shows that it is possible to improve outcomes and procedures for ultrasound-guided PIV insertions while also significantly cutting costs and staff time and reducing waste,” said Dr. Nancy Moureau, CEO of PICC Excellence and an internationally recognized expert and consultant in vascular access. “These results suggest that hospitals should consider more widespread use of the standardized UltraDrape dressing procedure.”

“It is the only dressing that separates the gel from the insertion site and that removes the gel after insertion, while providing sterile probe protection,” added Moureau. “For the estimated 12 million ultrasound-guided PIV insertions done each year in North America, it offers a win-win solution, simplifying and speeding up the procedure while reducing costs and time.”

“The UltraDrape dressing enables a level of standardization that simplifies the procedure while ensuring that sterile conditions are maintained,” said co-author Pam Pressnall. “This helped us achieve a level of efficiency that allows us to perform more ultrasound-guided patient insertions in fewer attempts, resulting in happier patients and nursing staff.”

Related Links:
PICC Excellence 
Parker Laboratories Inc. 

Gold Supplier
Ultrasound Transducer/Probe Cleaner
Transeptic Cleaning Solution
New
Point-Of-Care Ultrasound System
5000 Compact Series
New
Digital Imaging System
ACQUIDR
New
Silver Supplier
Pocket-Size Fetal Doppler
BT-220220C/BT-220L

Print article
CIRS -  MIRION

Channels

MRI

view channel
Image: BlueSeal magnet for helium-free MR operations (Photo courtesy of Philips)

Use of High-Temperature Superconductors to Make MR Imaging More Affordable, Accessible and Sustainable

A new research partnership focuses on the use of high-temperature superconductors to make MR imaging more affordable, accessible and sustainable in the future. Operating at higher temperatures and eliminating... Read more

General/Advanced Imaging

view channel
Image: Ultra-high-resolution photon-counting CT reveals bronchiolectasis (Photo courtesy of Medical University of Vienna)

Photon-Counting CT Shows More Post-COVID-19 Lung Damage

Photon-counting detector (PCD) CT has emerged in the last decade as a promising imaging tool. It works by converting X-ray photons directly into an electrical signal. This avoids the intermediate step... Read more

Imaging IT

view channel
Image: The new Medical Imaging Suite makes healthcare imaging data more accessible, interoperable and useful (Photo courtesy of Google Cloud)

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more
Copyright © 2000-2022 Globetech Media. All rights reserved.