Reply To: Nexiva PIV Catheters: Issues

  • Chris Donaghey

    Member
    July 23, 2020 at 12:21 pm

    Nothing has explicitly helped. We have looked into a product that is basically a stat-lock for the Nexiva, but it’s certainly cost-prohibitive. I think it has a hydrocolloid component.

    Locally, we have had professional practice councils recommend the use of foam tape under the hub to protect the skin. Our CNS team has discouraged this practice due to risk for contamination (our foam tape is not sterile) and infection events can be traced to peripheral access.

    From what other hospitals have told us, the device has caused local increases in “skin injuries.” Now, what those are classified as has varied from place to place, too.

    I would advise having a local conversation about how you investigate your instances. Check into the location of the PIV, whether arm wraps/excess tape were present, mirroring of the device, potential for the injury being caused by something other than pressure. We have tightened up our investigations since we first started noticing the skin injuries. At least that’s a local positive.

    Feel free to contact for further discussions as my CNS colleagues and I have looked at this issue for some time.

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    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Cancer and Blood Diseases
    Riley Hospital for Children at IU Health
    Indianapolis, IN
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    Original Message:
    Sent: 07-21-2020 12:46 PM
    From: Kelly Horn
    Subject: Nexiva PIV Catheters: Issues

    Chris,
    I was scrolling through discussions and this caught my eye because we have switched to the Nexiva PIV catheters just a few months ago.  We also have experienced an increase in pressure injuries and infiltrates.  Did you ever find anything to help with this?  Our staff are not at all enamored with this catheter.

    Kelly

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    Kelly Horn, MSN, RN, CPON
    Nursing Professional Development
    McLane Children’s Baylor Scott & White Health
    Temple, TX 76502
    kelly.horn@BSWHealth.org
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    Original Message:
    Sent: 05-29-2019 10:30 AM
    From: Chris Donaghey
    Subject: Nexiva PIV Catheters: Issues

    Hi all,

    We started using Nexiva PIV catheters a couple years ago.

    Over the past year, we’ve had an uptick in skin/pressure injuries related to the devices. They’ve been considered pressure as they mirror the catheter and are not blanchable.

    We’ve only educated related to the Tegaderm dressing that is recommended. Haven’t found other valuable strategies as hub guards are not recommended for the Nexiva.

    Any info is valuable.

    Thank you!

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    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children at IU Health
    Indianapolis, IN 46219
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