The Systematic Approach to Vascular Access

Overview

The Systematic Approach to Vascular Access

We believe that complex problems require sophisticated solutions. Today, Healthcare Systems are purchasing over 347,000 peripheral IV catheters each year, yet there are only 36.2 million hospital admissions. Hospitals are averaging over six peripheral IV catheter sticks per patient visit which costs approximately $5,500 on average per bed per year. This is not only costly, but patient safety and satisfaction are compromised.

Nexus Medical has an evidence-based methodology called PIV5Rights®. This methodology has proven to provide 96% first-stick success with 89% of those peripheral IV catheter insertions lasting for the patient’s length of stay. Nexus Medical has developed a solution set that can deliver all of the PIV5Rights outcomes in a predictable and repeatable manner.

To accomplish this, Nexus takes a systematic approach to vascular access using a data-driven platform allowing infusion therapy leadership to provide repeatable and reproducible outcomes.

Our five-phased systematic approach uses LEAN Thinking, which has proven to create value while using fewer resources by design, and decreases waste, variability, and errors. Our Systematic Approach follows an established data analytics model, DMAIC (define, measure, analyze, improve, and control), which outlines how we align with healthcare organizations to provide consistent outcomes.

Benefits

Better Outcomes, Better Experience

Improved Outcomes

Reduce occlusions, phlebitis, infiltrates, and blood stream infections
Improved dwell times
Improved rates of IVs lasting the length of stay
More timely and effective medication delivery

Increased Patient Satisfaction

Improved first-stick success rate (Decreasing patient anxiety)
Decreased amount of IV restarts that lead to more needle sticks
A more comfortable hospital stay

Improved Nursing Satisfaction

Reduce the amount of time spent on IV insertions
Increased confidence in delivering patient care
More time devoted to positive patient experiences

Lowering the Cost of Care Related to Vascular Access

Decrease the supply utilization for vascular access insertion
Lower resource utilization for vascular access device placement
Improved length of stay with fewer complications

Streamline Vascular Access Quality Improvement Initiatives

Leverage data and outcomes to work across your organization to make decisions
Seamlessly measure the impact of initiatives taken
Connect Vascular Access to broader hospital wide initiatives

Solutions

Proven Results

Solutions for Optimal Device Placement

Expand the use of ultrasound with Butterfly iQ eliminating blind sticks
Utilize Nexus Insights to identify the most appropriate vein & catheter
Effective calculation of the hemodilution ratio

Solutions for Vascular Access Data Capture

Efficiently capture vascular access device insertion, assessment, and discontinuation
Track the patient status of their vascular access devices
Camera capture to visualize the state of the catheter

Solutions that Analyze Outcomes

Extract and normalize data directly off the EMR
Near real time VAD tracking list by patient
Deep analysis on key performance outcomes 24x7x365 – dwell time, complications, 1^st stick success, Number of IVs per stay and more

Solutions for Evidence-Based Insertion Practices

Prevahex Dressing – CHX dressing with antimicrobial protection
TKO – Anti-reflux needleless connector, proven to keep blood out of the catheter
Mastisol – Reduces the likelihood of dressing displacement and catheter dislodgement
Chloraprep – Antiseptic skin applicator

Expertise to Drive Results

Shifting to a systematic approach for vascular access requires commitment and focused efforts. Nexus along with their key opinion leaders in vascular access are ready to help support you in this journey. Working side by side with your team, we are ready to:

Craft and execute training plans around USGPIV insertions
Analyze the data to help create a roadmap for improved outcomes
Work collaboratively with Supply Chain and Value Analysis on data driven product decisions
Update policies to align to the new systematic approach

Evidence

PIV5RIGHTS

Right Proficiency

A skilled inserter who is trained in vascular anatomy, vascular assessment, and vascular access and demonstrates first-stick success at least 96% of the time. This person is also proficient in ultrasound-guided peripheral, midline, and PICC and central intravenous catheter site selection and placement.

Right Insertion

A skilled inserter who is trained in ultrasound technology to assess and select the right vein diameter, right blood flow velocity, right angle of insertion, avoiding venous valves and points of flexion, and is proven to achieve the right results, which is 96% first-stick-success.

Right Vein & Catheter

A Skilled inserter who is trained in vascular anatomy, vascular assessment, and ultrasound technology to select the right vein, with the right vein diameter, right vein velocity, right angle of insertion, along with the right catheter gauge and length to deliver a volumetric flow rate which provides at least a 3-to-1 blood flow to medication ratio.

Right Supplies & Technology

Evidence-based best practice performance bundle designed to deliver an insertion site which lasts for seven days. 1. Alcoholic chlorhexidine skin preparation offers up to seven days continuous antimicrobial activity, 2. CHX antimicrobial bordered securement dressing for seven-day protection against infection and dislodgement, 3. Mastisol performance adhesive to deliver seven-day dressing adhesion, and Nexus TKO Anti-reflux technology to provide automatic blood reflux protection 24/7.

Right Care & Maintenance

Routine assessment every 12-hours by proficient nurse to safeguard the patient from unwanted catheter replacement. At each assessment, confirm the dressing is clear dry and intact, disinfect needleless connector, flush, and check for blood return to confirm IV catheter patency to ensure the site will last up to seven days.

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