PIVC Data, Audit & Feedback System

Combines staff surveys, medical record audits, and clinical outcomes (e.g., Staphylococcus aureus bacteraemia) to track PIVC practice, monitor patient safety, and inform local decision-making.

Pre-implementation: Conduct the survey before implementation begins to assess staff knowledge and inform the design of your site-specific intervention
Post-implementation: Conduct the survey 12 months after implementation starts to evaluate changes in departmental practices                         
Pre & Post implementation survey for Clinicians found below:       

→   Google Form Copy 
→   Microsoft Form Copy     

Barriers to PIVC documentation survey

→ Google Form Copy 
→ Microsoft Form Copy 

Purpose
 To assess the completeness of PIVC documentation in the medical record for patients attending your health service and identify any inconsistencies
Key Actions
  • Conduct the PIVC Audit Using the Smart Cannula Best Practice Audit Tool
    Developed in line with ACSQHC indicators, this tool supports local audits with direct data entry and allows generation of customised report-style report for executive distribution. All data is securely stored within the platform. Click the image below to access the tool.

  • Calculate the PIVC documentation rate: percentage of “insertion” and any related entries in the medical record for reporting.
Key documents  Download and adapt the tool locally

→ Research Protocol – Improving PIVC documentation
→ Data Definitions
→ Data spreadsheet template

Collect HA-SAB data linked to PIVCs
  • Provide regular audit and feedback to medical directors and nurse unit managers.
  • HA – SAB definitions 
Hospital-associated (HA) Staphylococcus aureus bacteraemia (SAB)
Collect data for patients presented in the Emergency Department (ED)
Field Name
DEFINITION

Hospital-associated (HA) Staphylococcus aureus bacteraemia (SAB)

A patient episode of SAB is defined as a positive blood culture for Staphylococcus aureus. For surveillance purposes, only the first isolate per patient is counted, unless at least 14 days have passed without a positive blood culture, after which an additional episode is recorded.

Staphylococcus aureus bacteraemia case will be considered to be healthcare-associated if the first positive blood culture is collected more than 48 hours after hospital admission or less than 48 hours after discharge, OR, if the first positive blood culture is collected 48 hours or less after admission and one or more of the following key clinical criteria was met for the patient-episode of PIVC associated SAB: SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, cerebrospinal fluid (CSF) shunt, urinary catheter)

Exclusions: Cases where a known previous positive test has been obtained within the last 14 days are excluded. For example, If a patient has SAB in which 4 sets of blood cultures are positive over the initial 3 days of the patient’s admission, only one episode of SAB is recorded. If the same patient had a further set of positive blood cultures on day 6 of the same admission, these would not be counted again, but would be considered part of the initial patient episode.

Note: If the same patient had a further positive blood culture 20 days after admission (i.e. greater than 14 days after their last positive blood culture on day 5), then this would be considered a second patient episode of SAB.

Reference: National Staphylococcus aureus Bacteraemia Data Collection (NSABDC) definition, here

PIVC Associated – HA Staphylococcus aureus bacteraemia (SAB)

A case of PIVC-associated SAB was defined as a health care-associated SAB in a patient:

  • with a PIVC in situ or removed within the 7 days before the positive blood culture; and
  • with no other source of SAB identified and either a physician or nurse documenting the PIVC as the source of the SAB in the medical record; and/or
  • with physical findings suggesting a PIVC as the source (erythema, induration, phlebitis, tenderness).

Reference: Stuart RL et al.. Peripheral intravenous catheter-associated Staphylococcus aureus bacteraemia: more than 5 years of prospective data from two tertiary health services. Med J Aust. 2013;198(10):551–553, here

Sharing Best Practice PIVC Information and Statistics
Provide site-specific PIVC data and best-practice information to the site’s Medical Director and nurse unit managers.
Reports can be generated using the Smart Cannula Best Practice Audit Tool and presented regularly to support ongoing monitoring and improvement.

Email template to medical directors and nurse unit managers. 

Purpose: Enhancing accessibility of PIVC equipment for clinicians through audit and optimization of the IV trolley.
Key Actions
    1. Audit the IV trolley, ensuring drawers are designated exclusively for IV insertion and venepuncture.
    2. Develop a checklist to guide clinical staff in correctly stocking the trolley. Venepuncture Trolley Layout example
              3. Educate clinical staff on the updated trolley setup.
             4. Consult with Infection Prevention team as a key stakeholder.
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