title: A nurse led central line insertion service.
abstract: Advanced Nurse Practitioners (ANP) are developing their role in order to insert temporary and permanent central venous catheters to facilitate haemodialysis. Two hundred and eighty-nine central venous catheters (CVC) were inserted over a two-year period. The ANP inserted 117 CVC with 172 CVC inserted by the nephrology medical team. Using non-parametric independent two-group comparison Mann Whitney test and Chi-Squared test, the two groups were compared for specific outcomes. When comparing both groups with respect to CVC longevity, elective and non-elective removal along with infection (exit site and systemic) no statistical difference between the ANP and the nephrology medical staff could be found.
authors.affiliation: Renal Unit, Arrowe Park Hospital, Wirral, Merseyside, UK. jonathan.casey@WHNT.NHS.UK
authors.forename: J
authors.initials: J
authors.lastname: Casey
authors.forename: J
authors.initials: J
authors.lastname: Davies
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000451:nursing* / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology; D004511:Education, Nursing, Graduate; D006801:Humans; D017053:Infection Control; D008505:Medical Staff, Hospital / Q000592:standards; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D006435:Renal Dialysis / Q000295:instrumentation*; D018709:Statistics, Nonparametric; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional