Replacement Peripheral Intravenous Catheters With Clinical Indication for Patient Convenience, Cost Efficiency and Reducing Nurses Workload


  • Narmawan Nurmawan STIKES Karya Kesehatan Kendari
  • Ida Djafar Prodi Keperawatan Ambon, Politeknik Kesehatan Kemenkes Maluku
  • Hasnani Hakim RSUD H. Andi Daeng Radja Bulukumba
  • Harmiati Syafril RSUD H. Andi Daeng Radja Bulukumba
  • Syahrul Syahrul Bagian Keperawatan Komunitas dan Keluarga, Fakultas Keperawatan, Universitas Hasanuddin, Makassar
  • Syahrul Ningrat Bagian Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Hasanuddin Makassar


Introduction: PIVCs (Peripheral Intravenous Catheters) have been widely used for clinical medical care which is having risk for phlebitis occurence. IV catheter replacement is performed when there is clinical indication such us phlebitis. The consequence of this action is patient convinence, nurse workload and patient care cost efficiency. Methode: A longitudinal study with experimental results of evidence based practice on replacement of PIVSc with clinical indication  as an effort to improve patient convinience, cost efficiency and reduce nurse workload in 41 patients. Result: 41 patients attached PIVCs, 100% wanted IV catheter replacement if there was any clinical indication. 68% of patients said very uncomfortable if IV catheter routinely replaced. 16 nurse (56.25%) said there is no need to replace IV catheter regularly. 43.75% of nurses felt IV catheters rountine replacement increased the working time and 50% of the nurses felt that nurses workload was increased. Conclusions: IV catheter replacement can be performed if there is cinical indication because it can improve patient convenience, increase cost efficiency and reduce nurse workload.


Download data is not yet available.

Alekseyev, S., Byrne, M., Carpenter, A., Franker, C., Kidd, C., & Hulton, L. (2012). Prolonging the life of a patient’s IV: an integrative review of intravenous securement devices. Medsurg Nursing, 21(5), 285–92.

Caruana, E. J., Roman, M., Hernández-Sánchez, J., & Solli, P. (2015). Longitudinal studies. Journal of Thoracic Disease, 7(11), E537–E540.

Cicolini, G., Manzoli, L., Simonetti, V., Flacco, M. E., Comparcini, D., Capasso, L., … Elfarouki, G. E. (2014). Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours : a large multi-centre prospective study.

Danski, M. T. R., Oliveira, G. L. R. de, Johann, D. A., Pedrolo, E., & Vayego, S. A. (2015). Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paul Enferm, 28(6), 517–523.

Donk, P. V., Rickard, C. M., McGrail, M. R., & Doolan, G. (2009). Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program: A Randomized Controlled Trial, (December 2014).

Dychter, S. S., Gold, D. A., Carson, D., & Haller, M. (2012). Intravenous therapy: A review of complications and economic considerations of peripheral access. Journal of Infusion Nursing, 35(2), 84–91.

Gorski, L., Hadaway, L., Hagle, M. E., McGoldrick, M., Orr, M., & Doellman, D. (2016). Infusion Therapy Standards of Practice. Journal of Infusion Nursing, 39(1). Retrieved from www.journalofi

Gorski, L., & Phillips, L. D. (2014). Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy 6th Edition (6th Editio). Philadelphia: Davis Company.

Jacob, A., R, R., & Tarachnand, J. (2014). Buku ajar clinical nursing procedures (2nd ed.). Tangeran Selatan: Binarupa Aksara.

Keogh, S. (2013). New research: Change peripheral intravenous catheters as clinically indicated, not routinely. JAVA - Journal of the Association for Vascular Access, 18(3), 153–154.

McCallum, L., & Higgins, D. (2012). Care of peripheral venous cannula sites. Nursing Times, 108(34–35), 12, 14–5.

Morrison, K., & Holt, P. K. E. (2015). The Effectiveness of Clinically Indicated Replacement of Peripheral Intravenous Catheters : An Evidence Review With Implications for Clinical Practice, (2011), 187–198.

Pasalioglu, K. B., & Kaya, H. (2014). Catheter indwell time and phlebitis development during peripheral intravenous catheter administration, 30(4), 725–730.

RCN (Royal College of Nursing). (2010). Standards for infusion therapy. Retrieved from

Rickard, C. M., Marsh, N., Webster, J., Playford, E. G., McGrail, M. R., Larsen, E., … Fraser, J. F. (2015). Securing All intraVenous devices Effectively in hospitalised patients—the SAVE trial: study protocol for a multicentre randomised controlled trial. BMJ Open, 5(9), e008689.

Rickard, C. M., McCann, D., Munnings, J., & McGrail, M. R. (2010). Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite:a randomised controlled trial. BMC Medicine, 8(2), 53–62.

Rickard, C. M., Webster, J., Wallis, M. C., Marsh, N., McGrail, M. R., French, V., … Whitby, M. (2012). Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial. The Lancet, 380(9847), 1066–1074.

Webster, J., Clarke, S., Paterson, D., Hutton, A., Dyk, S. v., Gale, C., & Hopkins, T. (2008). Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. Bmj, 337(jul08 1), a339–a339.

Wu, M. A., & Casella, F. (2013). Is clinically indicated replacement of peripheral catheters as safe as routine replacement in preventing phlebitis and other complications? Internal and Emergency Medicine, 8(5), 443–444.

Xu, L., Hu, Y., Huang, X., Fu, J., & Zhang, J. (2017). Clinically indicated replacement versus routine replacement of peripheral venous catheters in adults: A nonblinded, cluster-randomized trial in China. International Journal of Nursing Practice, 1–8.



How to Cite

Nurmawan, N., Djafar, I., Hakim, H., Syafril, H., Syahrul, S., & Ningrat, S. (2018). Replacement Peripheral Intravenous Catheters With Clinical Indication for Patient Convenience, Cost Efficiency and Reducing Nurses Workload. Indonesian Contemporary Nursing Journal (ICON Journal), 3(1), 31-38.