Effect of Education of Health Care Workers on the Maintenance of Venous Access Devices

Effect of Intensive Training and Education of Health Care Workers on the Maintenance of Venous Access Devices in Critically Ill Patients at a Tertiary Care Academic Hospital

In intensive care units (ICU), critically ill patients require various venous access devices for fluid resuscitation, drug therapy, or renal replacement therapy (RRT). These include peripheral intravenous catheters (PIVC), specialized venous ports like central venous catheters (CVCs), and hemodialysis ports. The investigators plan to do this pre- and post-intervention study to know the effect of intensive training and education of HCW (doctors and nurses) on the condition of venous access devices in critically ill patients.

Study Overview

• Status: Unknown
• Conditions: Vascular Access Devices
• Intervention / Treatment: Other: Training and education

Detailed Description

Phase 1, pre-intervention: The first twelve weeks will include 25 random visits to main ICU and point observations of all venous access devices under parameters like condition of dressing, connectors and documentation. This will also include the comparison of incidence of CLABSI in the pre and post intervention phase.

Phase 2, intervention: Next four weeks will be an intervention in the form of intensive training and education of the HCW (doctors and nurses). The intensive training will be in the form of an online presentation in which the investigators would have videos on care and maintenance of venous access devices, and the importance of documentation of days of insertion and change of dressing.

Phase 3, post-intervention: Another twelve weeks, post-intervention, again 25 random visits will be done to collect point observations about the same parameters of venous access devices and documentation as done in phase 1.

Statistical analysis: Each of these point observation parameters (for central or peripheral venous access) will be finally categorized as appropriate/inappropriate as per guidelines for best practice.

The compiled data from pre and post intervention phases would be compared. All the categorical parameters (appropriate/inappropriate) will be compared using chi-square test. All the quantitative parameters (e.g. incidence of CLABSI) will be compared using a paired t-test

• Study Type: Observational
• Enrollment (Anticipated): 400

Contacts and Locations

Study Locations

• India
  • Chandigarh, India, 160012
    • Recruiting
    • PGIMER
    • Contact: Dr. Rubina Sharma, MBBS; Phone Number: 08427977607; Email: rubinasharma7777@gmail.com
    • Contact: Dr. Neeru Sahni, MD; Phone Number: 09872646106; Email: neerunalin@yahoo.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All patients admitted to Main ICU of PGIMER during the period of data collection

Description

Inclusion Criteria:

• All patients admitted to Main ICU

Exclusion Criteria:

• Patients who refuse to give consent

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Pre-intervention; baseline data prior to training and education of health care workers. Intervention: intensive training and education of workers for maintenance of venous access devices.
Post intervention; observation after training and education of health care workers	Other: Training and education; Training and education of health care workers in the form of online seminars and bed side demonstration of care and maintenance of venous access devices

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To study the effect of intensive training and education of health care workers on care and maintenance of venous access devices in critically ill patients	the maintenance of venous access devices as evident from multiple point observations regarding condition of site ,dressing, connectors	Seven months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
effect of intensive training and education on incidence of CLABSI during pre and post intervention phase	incidence of central line associated blood stream infection to be compared between pre and post intervention phase	seven months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
to study improvement in documentation regarding venous access devices	effect of training and education will be studied on improvement in documentation of venous access devices in post intervention phase	seven months

Collaborators and Investigators

• Sponsor: Postgraduate Institute of Medical Education and Research, Chandigarh

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2020
• Primary Completion (Anticipated): April 1, 2021
• Study Completion (Anticipated): April 1, 2021

Study Registration Dates

• First Submitted: December 29, 2020
• First Submitted That Met QC Criteria: December 31, 2020
• First Posted (Actual): January 5, 2021

Study Record Updates

• Last Update Posted (Actual): January 5, 2021
• Last Update Submitted That Met QC Criteria: January 1, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Keywords: intensive care unit; central venous catheters; health care workers
• Other Study ID Numbers: NK/6491/MD/147

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No