title: The strategic role of the nurse in the selection of IV devices.
abstract: Use of vascular devices represents one of the most common procedures used as a complementary measure in the treatment of patients. An indication algorithm was established to serve as a guideline for nurses in choosing the best intravenous device, considering the main variables of drug therapy. A protocol approved by the Institute of Orthopedics and Traumatology of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), where the authors work, was subsequently established and the nurse carried out the evaluation for the indication of both the peripheral device and the central device, whether a peripherally inserted central catheter (PICC) or other device inserted by the physician. As a result, there was a decrease in the incidence of phlebitis from 0.77% in 2010 to 0.17% in 2011, with an annual curve of negative tendency. The nursing team also appeared more satisfied, diminishing stress related to puncture failure.
authors.affiliation: Division of Nursing, Diagnostic Center, Institute of Orthopedics and Traumatology, Hospital das Clínicas of the School of Medicine, University of Sao Paulo, São Paulo/SP, Brazil.
authors.forename: Thais Queiroz
authors.initials: TQ
authors.lastname: Santolim
authors.forename: Luiz Augusto Ubirajara
authors.initials: LA
authors.lastname: Santos
authors.forename: Arlete Mazzini Miranda
authors.initials: AM
authors.lastname: Giovani
authors.forename: Vanessa Cristina
authors.initials: VC
authors.lastname: Dias
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000451:nursing* / Q000592:standards*; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000451:nursing* / Q000592:standards*; D006801:Humans; D015994:Incidence; D007262:Infusions, Intravenous / Q000451:nursing / Q000592:standards; D009741:Nursing Staff, Hospital / Q000592:standards*; D016134:Organizational Policy; D010689:Phlebitis / Q000453:epidemiology / Q000451:nursing / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents