In certain cases (e.g.: patient who are difficult to perfuse, thin veins, etc.), an increase in venipunctures performed by study nurses in healthcare services can lead to a loss of venous capital, repeated pain during punctures, discontinuous treatment follow-up and numerous requests for assistance from colleagues, including nurse anesthetists, but often too late.
The main objective of project is to reduce the number of punctures to access the venous system after evaluation of adult patients upon entering the hospitalization department using the A-DIVA tool. the A-DIVA score predicts the difficulty in infusing an adult patient
Male and Female Adult Patients Aged 18 Years and Older
written informed consent given by patient
Affiliation to a social security system or equivalence system
Patients in Intensive Care Units
Patients with Psychiatric Disorders or Under Psychiatric Care
Minor Patients Under 18 Years of Age
Pregnant or Breastfeeding Women
Parallel
evaluation of intravenous access of patients with Adult-Difficult IntraVenous Access (A-DIVA) score prior to puncturing subject
Other interventionThe patient's intravenous access will be evaluated using the A-DIVA score by the study nurse at the time of admission, prior to venipuncture performed by the care nurse
evaluation of intravenous access of patients with modified Adult-Difficult IntraVenous access(A-DIVA modified) score prior to puncturing subject
Other interventionThe patient's intravenous access will be evaluated using the A-DIVA-m score by the study nurse at the time of admission, prior to venipuncture performed by the care nurse
Number of Venipunctures Performed to Establish the First Peripheral Intravenous Line in the Hospital services
Number of Venipunctures Performed to Establish the First Peripheral Intravenous Line in the Hospital services
pain score (numeric rating scale) during venipuncture
assess the patient's pain on a scale of 0 to 10 at the time of the puncture. A lower score indicates less painful, a higher score means that patient is more painful.
duration of successful catheter placement
duration of successful catheter placement
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