Methods
Pre-implementation involve gathering data sets on staff baseline knowledge of CVC management, then introduce the CVC poster and determine the same staff members' confidence and knowledge using the poster as a cognitive aid to guide management. The participant will then complete a satisfaction survey on the use of the poster.
Pre-implementation also involved cost analysis and comparison including the number of patients with central lines in the past 12 months and the actual cost of consumables involved in transitioning from ED 3-way extension set to Alaris IV-port manifold, new infusions, lines as well as approximate staff time to complete changeover.
Implementation involves education rollout of the poster and specifically the utilisation of Alaris IV-port manifold when commencing inotropes via CVC in the ED.
ED clinicians place central venous catheters (CVCs) for critically unwell patients and commence inotropes via central line utilising a three-way extension set. Upon transfer into ICU, the three-way extension set is changed to an Alaris IV port manifold, primed, and new lines and inotrope infusions prepared and commenced.
Post implementation includes an audit of the patients transferred to ICU with a CVC and inotropes, and what device the inotropes are connected to, for example, 3-way extension set or Alaris IV-port manifold.
