Ouch! Increasing IV Insertion Success Rate on First Attempt Improving the Patient Experience

      All patients require vascular access placement prior to surgery. In the Pre Surgical Center (PSC), each of the 9 (PSC) RNs was responsible for IV placement before the patient went into the OR. Establishing vascular access in our patient population is challenging due to arm precautions and recent chemotherapy. There was variable first IV attempt success rate due to the variety of tenure, experience and skill level of the PSC RNs. The first attempt success rate ranged daily between 79-93% (n=127). This was painful and anxiety provoking for the patient. We recognized an opportunity for improvement.
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