Donna Matocha, MSN, RN, CNRN, VA-BC.
Journal of the Association for Vascular Access 2013;
18 (3): 157-163.
Implementation of the Institute for Healthcare Improvement's
Central Line Bundle in 2005 did not result in attainment of 0
central line-associated bloodstream infections (CLABSIs).
To establish process improvements to eliminate CLABSIs.
Infection Prevention and Intravenous Therapy Departments at our
institution formed a collaborative partnership in 2008 to eliminate
CLABSIs. Staff education, daily surveillance, and implementing
evidence-based practice into policies, protocols, and product
selection were utilized. A study designed to capture and track
multiple interventions from the beginning versus time was
There were a total of 7 CLABSIs over 5 years, which trended down
by year from 3 to 2 to 1 to 1 to 0. The average annual CLABSI rate
of infections per 1,000 catheter line days declined from 1.068 to
0.849 to 0.508 to 0.449 to 0.000. The full 3-year simple average
from 2009 to 2011, after all of the key interventions were
phased-in, was 0.3048.
Polly L. Flippo, RN, MSN, CMSRN, Jayne Lee, RN, MPH,
Journal of the Association for Vascular Access 2011;
16 (2): 95-102
The purpose of this study at FirstHealth Moore Regional Hospital
(MRH) was to perform a clinical evaluation of the SorbaView SHIELD
dressing to demonstrate the anticipated cost savings of the device
related to the reduction of unscheduled restarts. The study also
sought to demonstrate clinician satisfaction with the dressing.
- 109 patients were enrolled.
- There were only 2 episodes of dislodgment, 1 episode of
infiltration, 1 occlusion and 3 IVs that leaked.
- 86% of the nurses surveyed rated the securement dressing as
good to excellent.
- 91.5% of the patients IV's made it to either discharge or 96
- The annual cost savings over the hospitals previous product
Elizabeth E. McNeill, RN, BSN, MA, CCRN, Nicole L.
Hines, RN, BSN, CIC, Regina Phariss, RN
Journal of the Association for Vascular
Access 14.1 (2009): 46-51.
The objectives of the study at this 851 bed hospital in the
Covenant Health System were to understand current peripheral IV
practices within the hospital and evaluate a closed IV catheter
system with the use of the SorbaView dressing and HubGuard.
- There was no hospital-wide standard for the securement of
catheters. 62.5% failed within the first 24 hours.
- Only 9.5% made it to 72 hours or longer.
- After implementation with the new catheter and
dressing/securement unscheduled restart rates dropped to just
- 90% of the clinicians who used the SorbaView/HubGuard
combination preferred it over their previous securement.
L. Orsino (Study Manager), et al.
Journal of the Association for Vascular
Access 14.1 (2009): 14-19.
This study was performed at eleven Italian Oncology, Hematology
and Pain centers.
The intention of this observational study was to study the
efficacy and tolerability of the latest generation of dressings
introduced in Italy. Specific dressing were SorbaView 2000,
SorbaView Ultimate and SecureView Port AFZ dressings. The dressings
have similar constructions with some exceptions for each type of
The study was performed on 435 patients.
Of the 435 patients enrolled:
- In total 1391 dressings were applied. 1291 (92.66%)
adhered for the prescribed therapy, 94 (6.75%) detached but did not
need to be replace and only 8 were completely detached
- 365 (83.9%) expressed approval of the dressings by the
- Ability to perform daily hygiene
- Patients could carry out daily activities and sports
- Patients reported the absence of reactions where they have had
problems with other dressings
- There was an improvement in their overall quality of life.
Trotter BS, Brock JL, Schwaner S,
Conaway M, Burns SM.
The purpose of this study was to compare the most common Central
Venous Catheter dressing method, tape and gauze, to two other
The objectives were to determine:
- Dressing condition
- Was the dressing prone to soiling
- Did the dressing stay intact?
- Nursing time
- How much time was needed to perform the dressing change
The three methods were:
- Tape and gauze
- Tegaderm and gauze
- SorbaView dressing.
224 dressing applications were examined:
- 59% were PICCs
- 26% were Non-tunneled CVC catheters
- 15% were suture Hohn catheters
- The SorbaView dressing remained intact over 7 days 94% of the
- The estimated cost savings in materials alone
Winfield C RN, Davis S BSN RN, et al.
American Nurse Today. May 2007 Vol. 2 Num.
This study took place at University of Virginia Health
The authors set out to prove the current institutional method for
covering and securing catheters was outdated, prone to
complications and in conflict with current standards and guidelines
for peripheral IV care.
The current method was to place non-sterile, clear tape over the
IV insertion site without sterile gauze for all surgical
procedures. Post operatively an extension set was added and the
dressing changed to either sterile gauze and tape dressing or
The authors hypothesized that using tape and gauze for securing
catheters was outdated, time-consuming, risked exposure to blood,
created a risk for dislodgment and was infection prone.
They examined 4 methods for securement:
- Nonsterile tape over the site
- A "U" taping with gauze
- A Tegaderm dressing
- A VersaDerm dressing.
105 patients were studied.
The VersaDerm Method was shown to be the best overall method for
stabilization, consistency, cost-savings and ease of use.
Elayne Penney-Timmons, RN, OGS, CRNI
Journal of the Association for Vascular Access 10.1
This 700 bed facility in the Midwest engaged in a product trial
as evidence for a change in the products and process for inserting
a peripheral IV catheter.
The trial was based on Centurion single-use IV start kit.
The facilities objectives were to:
- Standardize IV start materials and procedures
- Reduce phlebitis rates
- Accomplish objectives with existing staff
Data was collected over six month intervals with the goal of
approximately 250 random assessments per period from 2002-2004.
Nurses were not informed of upcoming assessments.
- 1345 assessments were performed
- The infiltration rate was ZERO
- The phlebitis rate was nearly eliminated, started in 2002 at
3.79% down to 0.40%
- Nursing time was reduced from 25 minutes per procedure to 15
minutes per procedure
- Because of these improvements the dwell time was extended from
72 to 96 hours
- Patients had few site complications and unscheduled
- This led to an annual cost savings
INS National Convention Poster Presentation May 7,
From November 1, 1999 to July 12, 2002 IV Management Services, a
vascular access consulting company in Phoenix, AZ, began an
evaluation of the SorbaView and the SorbaView 2000 window
These dressings represent a hybrid in transparent semi-permeable
membrane dressings. They are composed of an occlusive polyurethane
film layer that is vapor transmissible with a non-adherent
absorbent pad and a comfortable non-woven cloth border. This design
allows for excess moisture to be wicked away from the Vascular
Access Device exit site and creates an occlusive barrier to
The SorbaView 2000 came to market later in the study starting in
January 2002 until July 2002. It represented a significant
innovation in the previous SorbaView. By reorganizing the layers of
the dressing it improved the occlusive properties of the
- Would the dressing stay intact and occlusive for 7 days
- Assess for the incidence of exit site infection
- Establish guidelines based for the use of the dressing across a
variety of health care settings
- 576 patients were enrolled in the evaluation, with a total of
1961 assessments of the dressings.
- The majority of the devices dressed were PICCs (80%) for the
SorbaView and (89%) for SorbaView 2000.
- The dressings were used in 32 facilities ranging from teaching
hospitals to home health care.
- The SorbaView was considered intact over a 7 day period 82% of
- The SorbaView 2000 was considered intact over a 7 day period
93% of the time.
- Exit site infection rate was 1.4 per 1000 catheter days.
- The dressing demonstrates the incredible durability of the
SorbaView line. Integrating protection, absorbency and comfort into
Garcia R, Jendresky L, Landesman S, Maher A, Nicolas
Lecture, Jan 28, 2005 APIC, Tampa,
This study took place at a large teaching hospital in
The objectives of the study where to determine the effectiveness
of implementing various evidence based interventions in reducing
infection the incidence of CR-BSI.
The pre-intervention rate of infection from January thru
December 1999 was 15.0 CR-BSI cases per 1,000 catheter days.
The following interventions were employed:
- In 2000, focused education reduced the infection rate to 6.4
CR-BSI cases per 1,000 catheter days.
- In 2001, Conversion to a silver-platinum (Vantex) catheter
resulted in a decrease to 3.3 CR-BSI cases per 1,000 catheter
- In 2001, the use of max barrier precautions was implemented
with a slight initial increase in infections.
- BUT with the implementation in 2002 of a CHG-70% isopropyl
alcohol skin prep reduced the rate to 1.6 CR-BSI cases per 1,000
- The total infection rate was reduced by 89.3% by implementing
these four basic interventions.
- 237 CR-BSI's were avoided by implementing the above mentioned
interventions. The estimated annual savings impact
was $2,519,084 to $4,088,000.
Click the study title to view the full journal article.