Forty episodes of clinical practice of CVDC care were observed and recorded on the clinical observation audit tool.
Fifty-five patients with a CVDC had their medical record charts audited.
Standardised practice for accessing CVDC to ensure evidence-based practice and to minimise practice variation.
A standardised haemodialysis treatment form was modified by adding a section referring to the CVDC exit site and dressing, to ensure the patient's CVDC is assessed, reviewed and documented for every dialysis treatment.
No longer is a long term CVDC
seen as the only option.
A questionnaire was developed as the audit tool for the CVDC audit (Table 1).
For the CVDC exit site dressing changes, the audit showed that out of the 18 randomly selected patients with the vascular catheter, 50% of the patients had documentation indicating full adherence (4 times + if required) with dressing changes (Graph 1).
All CVDCs are covered by a sterile transparent dressing, which permits continuous inspection of the site (Akoh, 2002).
Results from the pilot study were presented to the participating units who considered the instrument was measuring clinically significant areas in relation to CVDC nursing care.
Following the pilot study the questionnaire was designed to address several aspects relating to CVDC care.
Information relating to CVDC insertion characteristics were sought.
This was deemed as appropriate by the authors as the survey responses were to provide a descriptive overview of current CVDC practices and encourage debate and discussion relating to best practice CVDC care in Australia.