ORIGINAL RESEARCH ARTICLE | Feb. 16, 2021
Associated Risk Factors of Phlebitis among Registered Nurses at PMC Hospital Nawabshah, Experience and Education Based Study
Abdul Haque Khoso, Parveen Imdad Memon, Dr. Masood Ali Qureshi, Mrs. Shabnam Bibi, Mr. Bashir Ahmed Pirzado, Mr. Khalid Nadeem
Page no 37-42
Introduction: Intravenous catheterization or Peripheral venous catheterization is one of the most being procedures by health care providers during patient hospitalization. For the purpose of sampling, fluids, diagnostic procedure medication administration, and nutritional supplement. Phlebitis is the most common peripheral catheter related complication. .It appears to local edema and inflammation, discomfort, redness of skin or subcutaneous. Phlebitis can be chemical, mechanical and biological at the site of puncture. Objectives: Determine the associating factors of phlebitis among registered nurses on the basis of experience and nursing education. Material and Methods: This study was an analytical cross-sectional study and conducted at Peoples Medical College Hospital Nawabshah. In this study, a purposive sampling method was used, and the sample size of the study was 90 Registered nurses. Results: The gender distribution among subjects was male 50 (55.6%) and females were 40 (44. 4%). Designation among study subjects was 80(88.8%) were staff nurses and only 10(11.1%) were head nurses. A slum of subjects said antibiotics 70(77.8%) develop phlebitis, significant with experience (p=.000). The continuous I.V fluid 80(88.9%) and intermittent fluid 10(11.1%) develop phlebitis and found significant with experiences. Conclusion: The study, examined; nurses have significant awareness for the prevention of phlebitis and maintenance of peripheral I.V. Further study also found the factors associated with phlebitis.
ORIGINAL RESEARCH ARTICLE | Feb. 28, 2021
Think Delirium! Do we Assess our Critically Ill Patients for Delirium? A Closed Loop Audit
Tharwat Aisa, Ibrahim Ramadan, Adel Hussein
Page no 43-44
Delirium is prevalent among critically ill patients and it is an independent risk factor for mortality. The audit aimed to determine the staff awareness of delirium screening and to establish whether we assess and document the cognitive state of our patients regularly in the course of intensive care admission. Furthermore, we aimed to review if the causes of delirium were considered and treated appropriately. A closed loop audit was conducted in the different intensive care units. The initial audit showed that Most of the nurses; 63 (97%) neither assessed the patients for delirium nor were aware of the delirium assessment checklist. There were 12(20%) patients out of 58 who had delirium during the audit with no documentation or treatment. The second audit cycle showed 86 (90.5%) of the staff were fully aware of the checklist and using it. We conclude that re-implementing the routine screening for delirium improved its evaluation and management.