Intra Venous Medication Anti–Infection Device

Patient Safety and Clinician Efficiency

Approximately 80–90% of patients admitted to healthcare facilities have some form of vascular access device (VAD) placed. It is usually a Peripheral IV (PIV) placed to provide intravenous access for fluids or medications. More critical patients may receive a central venous access device (CVAD) placed by the physician or specially trained RNs. A risk to having either vascular access device (VAD) is infection, specifically a catheter related blood stream infection (CRBSI).  

Beginning October 1, 2008, the Centers for Medicare and Medicaid Services (CMS) will no longer provide reimbursement over and above the typical Inpatient Prospective Payment System (IPPS) rate for care required to battle several types of healthcare-associated infection, also referred to as hospital-acquired infection (HAI). (Taken from the website: FirstDoNoHarm.com http://www.firstdonoharm.com/HAC/CRBSI/ )

The Joint Commission (TJC) (formally the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)), has implemented National Patient Safety Goals. One specifically targets infections of the blood from central lines: NPSG.07.04.01.  

One CRBSI may cost a facility anywhere from $25,000 to $95,000 per incidence. Patients who acquire a CRBSI have an increased mortality of 25–35% on top of any other current medical problems.  

By implementing an IV MAID® on each IV pole in a facility, the cost will be less than one CRBSI. (based on facility size up to 500 beds.)

The IV MAID® will also save clinicians time while caring for patients by having supplies within arms reach of their patient. These supplies will be per patient during their hospital stay, thereby decreasing the incidence of cross contamination between patients.

In our preliminary performance improvement initiative, the time saved per each flush/ medication administration to VAD is approximately 3-6 minutes, this added up over a 24 hour period is a substantial time savings for the facility and clinicians. This time can be devoted to direct patient care, documentation, and coordination of care.