Training and Protocolization in the Use of Port Cath: Improving Patient Safety and Quality of Care
DOI:
https://doi.org/10.56294/hl2024.281Keywords:
Port Cath, nursing, training, standardization, patient safetyAbstract
The intervention project was aimed at the nursing staff of a hospital in the city of Rosario and its objective was to create a training space to standardize the Port Cath device. It was observed that the staff was performing this activity in a non-uniform manner, which put the health of patients and the durability of the device at risk. The proposal sought to unify techniques to prevent complications, improve care planning and benefit the patient, the healthcare team and the institution.
Organizations such as the Argentine Society of Intensive Care (SATI) and the Argentine Society of Infectious Diseases (SADI) demonstrated the need for clear standards through studies that revealed an incidence of infections of 3.78 per 1000 days of catheter use. Although field work was not performed due to the sensitivity of the data, the lack of statistics and the vulnerability of patients were highlighted, which justified the need for this project.
Treatment with Port Cath devices was considered essential in patients with chronic pathologies requiring prolonged vascular access. These devices have been shown to reduce complications, improve quality of life and optimize hospital costs. However, the lack of training and standardized protocols limited their effectiveness.
The proposal included staff training in techniques based on scientific evidence and clear protocols, in line with national patient safety policies in Argentina. This approach reduced risks, improved care and optimized health system resources
References
1. Álvarez, T., Mesas, A. & Serrano, T. (2021). “Manejo y cuidado del reservorio subcutáneo Porth–A-Cath”. Unidad de Oncología/Hematología, Gerencia de Atención Integrada de Albacete, SESCAM. Recuperado de https://www.chospab.es/publicaciones/protocolosEnfermeria/documentos/a66ad9 33577ac111f1466b0eede53e80.pdf
2. Ander Egg, E. (2005) “Como elaborar un proyecto, guía para diseñar proyectos sociales y culturales”. Argentina. Editorial: Lumen/HVManitas.
3. Baltazar, E., Cedro, M. & Heredia, M. (2018) “Conocimiento del personal de enfermería sobre el manejo y cuidado de catéter implantable en el servicio de terapia intensiva del hospital pediátrico Dr. Humberto Notti en el periodo 2018”. Facultad de Ciencias Médicas, Universidad Nacional de Cuyo. Recuperado de https://bdigital.uncu.edu.ar/objetos_digitales/12088/baltazar- esther.pdf
4. Cotilla Franco, J., Prieto Tinoco, J. & Frigolet Maceras, P. 2008. Protocolo de uso y mantenimiento del reservorio venoso subcutáneo. Enfermería Global. 7, 2 (jun. 2008). Disponible en https://revistas.um.es/eglobal/article/view/19601/18971
5. García Suárez, M., Méndez Martíne, C., Pan Rossi, M., Palanca de la Varga, J. M., Abella Alvarez, S., & Zuazua González, P. (2020). Canalización y manejo de Catéteres Venosos Centrales con reservorio subcutáneo de implantación braquial. Tiempos De Enfermería Y Salud, 1(2), 41-45. Recuperado a partir de https://tiemposdeenfermeriaysalud.es/journal/article/view/65/53
6. González, J. (2015). “PICC vs Reservorio. Valoración, conocimiento y capacitación en el uso de los dispositivos vasculares por parte de los profesionales de enfermería”. Escuela de Enfermería de Palencia “Dr. Dacio Crespo” Valladolid, España. Recuperado de https://uvadoc.uva.es/bitstream/handle/10324/13266/TFG- L879.pdf?sequence=1&isAllowed=y
7. Henderson, V. (1966): “La naturaleza de la enfermería” New York. Editorial: MacMillan Henderson, V. (1978): “Principios y prácticas de la enfermería”
Mexico. Editorial: Metro Work.
8. Hurley, W., Denegar, C. & Hertel, J. (2012). Libro: “Métodos de investigación: Fundamentos de una práctica clínica basada en la evidencia”. España. Editorial: Wolters Kluwer.
9. Kenneth, W. (2017) “Between the lines: The 50th anniversary of long-term central venous catheters”. VOLUME 213, ISSUE 5, P837- 848, MAY 2017. Recuperado de https://www.americanjournalofsurgery.com/article/S0002- 9610(17)30017- X/fulltext
10. Melnyk, B. & Fineout-Overholt, E. (2016). “Practica basada en la evidencia para ciencias de salud”. España. Editorial: Wolters Kluwer.
11. OMS. Organización Mundial de la Salud. (2022) “Correcto lavado de manos”. Recuperado de https://www.who.int/es
12. OMS. Organización Mundial de la Salud. (2023) “Seguridad de los pacientes”. Recuperado de https://www.who.int/es/campaigns/world-patient-safety-day/2023
13. Polit, D. & Beck, Ch. (2018). Libro de: “Investigación en enfermería”. (9ª edicion). España. Editorial: Wolters Kluwer.
14. Porth Carol, M. (2015). “Fundamentos de Fisiopatología”. España. Editorial: Wolters Kluwer.
15. Tovar Rojas, S. (2011). “Permeabilización del catéter central con reservorio subcutáneo en pacientes oncológicos”. Pontificia Universidad Javeriana Facultad de Enfermería Bogotá, D. C. Recuperado de https://repository.javeriana.edu.co/bitstream/handle/10554/55056/To varRojas%2cSandraVeronica.pdf?sequence=1&isAllowed=y
Published
Issue
Section
License
Copyright (c) 2024 Valeria N. Cova (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.