Survey of heat use during peripheral IV insertion by health care workers.
Health care workers at an academic medical center in the Midwest were surveyed to identify common practices regarding heat use during peripheral intravenous (PIV) catheter insertion. Of the 907 who responded, the majority used heat to facilitate PIV insertion at least sometimes, when veins were not easily seen or not palpable, applying a commercial dry hot pack for 2 to 5 minutes before selecting an insertion site. Heat use correlated with practice role and population, frequency of PIV insertion, and perceived PIV skill. Findings will guide development of a research protocol to compare the effects of dry heat, moist heat, and no heat on PIV insertion success.
University of Wisconsin Hospital and Clinics (Mss Kiger, Knudsen, Curran, Hunter, Schaub, Williams, and Zechel) and the University of Wisconsin-Madison School of Nursing (Dr Kwekkeboom), Madison, Wisconsin. Tammy Kiger, MSN, RN, is a nursing informatics specialist at the University of Wisconsin Hospital and Clinics in Madison, Wisconsin. Élise Arsenault Knudsen, MS, RN, ACNS-BC, is the clinical nurse specialist for evidence-based practice at the University of Wisconsin Hospital and Clinics. Wendy Curran, MS, RN, OCN®, is a clinical nurse specialist in oncology services at the University of Wisconsin Hospital and Clinics. Julia Hunter, MSN, RN, PNP-BC, is a clinical nurse specialist for the pediatric clinics at the University of Wisconsin Hospital and Clinics. Anna Schaub, MSN, MHA, RN, is a cardiology coordinator in preventive cardiology at the University of Wisconsin Hospital and Clinics. Mary Jane Williams, DNP, MPH, RN, NE-BC, is the clinical nurse manager of the clinical research unit at the University of Wisconsin Hospital and Clinics. Janet Zechel, MSA, RN, CNML, is the former clinical nurse manager of the venous access team at the University of Wisconsin Hospital and Clinics. Kristine Kwekkeboom, PhD, RN, is an associate professor and director of the PhD program at the University of Wisconsin-Madison School of Nursing.
Tammy
T
Kiger
Élise Arsenault
ÉA
Knudsen
Wendy
W
Curran
Julia
J
Hunter
Anna
A
Schaub
Mary Jane
MJ
Williams
Janet
J
Zechel
Kristine
K
Kwekkeboom
D002406:Catheterization, Peripheral / Q000379:methods*; D002983:Clinical Competence; D006282:Health Personnel; D006358:Hot Temperature; D015146:Midwestern United States