Evidence-based Practice: Improving Outcomes for Patients with a Central Venous Access Device

Abstract Purpose To apply evidence-based practice when flushing central venous access devices (CVADs). Background/Introduction There is a lack of standardized flushing protocols for CVADs among health care institutions. Identifying best practice and assuring skillful implementation of evidence-based practice protocols is essential to maintaining catheter patency. Review of Relevant Literature Evidence supports the use of nonheparinized saline flush, positive-pressure valve caps, and proper flushing technique to maintain CVAD patency ( Bowers, Speroni, Jones, & Atherton, 2008 ; Hadaway, 2006 ; & Jasinsky & Wurster, 2009 ). Reinforcement of proper flushing techniques has demonstrated improved patency rates of CVADs ( Feehery, Allen, & Bey, 2003 ). Methods Corporate and individual in-services were conducted to improve nurses’ skill and knowledge of evidencebased practice related to flushing CVADs. Outcomes were measured by comparing baseline data with data collected in the same manner post-education. Data was obtained by means of a questionnaire and direct observation of nurses’ flushing technique. Outcomes The evidence-based practice project demonstrated a significant improvement (p