title: Evaluation of the effectiveness of an intravenous line and fluid bottle fixation design.
abstract: It's important to improve the stability of intravenous (IV) lines and bottles during patient activity and nursing care. We developed an intravenous line and fluid bottle fixation design (ILFBFD) which includes a bottle retaining clip and line fixation kit. We randomly assigned 60 participants each to the experimental and control groups. Participants were asked to push an IV stand without and with ILFBFD 11 meters on uneven pavement and a sloping floor. The distance the IV bottle moved was recorded. Self-administered questionnaires were used to collect the opinions of the participants. Use of ILFBFD, resulted in less movement in the anteroposterior and left/right directions (differences of 46.98 cm2, t= 12.80, p < 0.000 and 39.24 cm2, t= 8.01, p< 0.000, respectively) compared with not using ILFBFD. The average scores for bottle movement when participants walked on a flat floor, uneven pavement and sloping floor, IV line tangling and dropping, and organization of Liv lines were significantly better in those using than not using ILFBFD. The results can be used in clinical practice to reduce knotting of IV lines, and to enhance the safety and quality of patient care.
authors.affiliation: Department of Nursing, National Taipei University of Nursing and Health Science, Taiwan.
authors.forename: Piao-Yi
authors.initials: PY
authors.lastname: Chiou
authors.affiliation: Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taiwan.
authors.forename: Chih-Yin
authors.initials: CY
authors.lastname: Chien
authors.affiliation: Department of Nursing, Taipei Medical University Hospital, Taiwan.
authors.forename: Ting-Ru
authors.initials: TR
authors.lastname: Shiu
authors.affiliation: Department of Nursing, National Taipei University of Nursing and Health Science, Taiwan.
authors.forename: Pei-Jiun
authors.initials: PJ
authors.lastname: Lin
authors.affiliation: Department of Nursing, Renai Branch, Taipei City Hospital, Taiwan.
authors.forename: Wan-Yu
authors.initials: WY
authors.lastname: Lin
authors.affiliation: Department of Nursing, Mackay Memorial Hospital, Taiwan.
authors.forename: Yi-Rung
authors.initials: YR
authors.lastname: Jiang
mesh_terms: D004867:Equipment Design / Q000592:standards*; D006801:Humans; D055103:Hypodermoclysis / Q000295:instrumentation*; D007262:Infusions, Intravenous / Q000295:instrumentation*; D013525:Surgical Instruments / Q000592:standards*; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: Intravenous (IV) line; fixture design; fluid bottle; safety