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Consequences of a venous needle dislodgement event can range from minimal blood loss to a fatal hemorrhage (Pennsylvania Patient Safety Authority, 2010).
ANNA Venous Needle Dislodgement Special Project Workgroup
The American Nephrology Nurses' Association (ANNA) convened a collaborative special project workgroup, the ANNA Venous Needle Dislodgement Special Project Workgroup, to review recommendations of care for venous needle dislodgement prevention and detection, and to present these recommendations in easy-to-use tools.
* Have you seen a venous needle dislodgement in the past five years?
* How often are you concerned about venous needle dislodgement?
* Would a screening tool assist you in the assessment of a patient's risk of venous needle dislodgement and be of benefit to you?
* Would educational material on how to reduce the risk of venous needle dislodgement be of benefit to you?
* Please share additional comments about venous needle dislodgement.
The ANNA Venous Needle Dislodgement Survey results revealed that 76.6% (n = 894) of the 1166 responders to the survey question about observances of venous needle dislodgement indicated they had seen a venous needle dislodgement in the past five years, with 8.2% (n = 96) of these having seen five events or more in this time period (see Table 2).
Information from the ANNA Venous Needle Dislodgement Survey and The Literature Review
Our observations confirm that in the field there is a risk of dislodgement by either bulk tidal flow or oscillatory wave-induced flow.
It has been studied mostly in post surgical patients there is an intuitive assumption that increasing movement and sweating during second stage of labor can contribute to catheter dislodgement in obstetric population; our study was not designed to look at this question, however our data did not suggest an increased overall incidence of migration in this population group; magnitude of problem was comparable to surgical patients.