Every day, you make clinical decisions about many aspects of patient care, but you face challenges for many situations. Your first choice for a resource is the facility policy and procedure book, or to check other valued textbooks. Another option is to ask a trusted colleague. But what happens when your questions remain unanswered, or you wonder if practice can be made safer through use of more recent evidence. The Institute of Medicine established a goal of having 90% of clinical decisions based on the latest evidence but we are far from that goal.
When do you have the time to go to a computer, sign on to a search engine, locate the needed papers and analyze them? That is where we can help! Our Evidence-Based Practice Reports asks a clinical question, then provides a concise report based on the latest published evidence. We include term definitions, analysis of studies, recommendations for practice and the complete list of references used. We have just released a new EBP Report – Venipuncture and Lymphedema The Clinical Questions are
Numerous guidelines have statements instructing patients to avoid all punctures on the ipsilateral arm after breast cancer surgery. This recommendation based on a theory dates back to 1921. Almost 100 years later we still do not have a complete scientific answer. We did find 4 systematic literature reviews on these questions, but the studies are not high-level evidence and are conflicting. What happens when all veins in the unaffected arm cannot be found or your patient has had bilateral breast cancer? Learn more about the evidence for these decisions by obtaining this paper here. The first EBP Report is Continuous and Intermittent IV Sets The Clinical Questions are:
We welcome your ideas for new EBP Reports. Please email your suggestions. Finally, as a free service, we have compiled a paper on infusion therapy references. This list includes textbooks, journals, and standards and guidelines. Find a copy of Your Infusion Library here . And we are not finished with free services! All customers purchasing an online course, EBP report, recorded presentation, or other consulting services are invited to join a closed discussion group on Facebook – STIC or Stop the Infusion Confusion, an online, private community. The group discussions are facilitated by Lynn with her unique point of view as an experienced infusion therapy educator. Post questions and obtain continued support through interactive discussions. Watch for your invitation by email after your purchase.
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Author: Lynn HadawayLynn Hadaway is an international thought leader in infusion therapy and vascular access, having been in this practice for more than 40 years. Her experience comes from hospital-based infusion teams, device manufacturers, and continuing education services. Her journal and textbook publications are extensive. She also maintains board certification in infusion nursing (CRNI) and nursing professional development (RN-BC). Categories
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May 2019
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