Incidents related to the Hickman<sup>®</sup> catheter: identification of damages

descriptive, retrospective, qualitative approach. The source of data were the notifications of incidents that occurred between January 2012 and May 2015, as well as the information available on the medical records of patients involved in incidents with the Hickman® catheter.

Results:

the incidents related to the Hickman® catheter with the greatest impact on patient care were obstruction, fracture and traction. All incidents caused damage to patients, in a greater or lesser degree, in the dimensions of physical damage and subjective damage.

Final considerations:

damage or potential risk of damage was present in all incidents analyzed. The need to revise cleaning and obstruction protocols for the maintenance of the permeability of Hickman® catheters was demonstrated.

Descriptors:
Central Venous Catheters; Patient Safety; Damage to Patient; Hematopoietic Stem Cell Transplantation; Nursing Care

Dimension	Category	Subcategory
Physical Damage	Delay in drug therapy (42%)	Pain due to delay in analgesic therapy Nausea/vomiting due to delay in antiemetic therapy Delay in hydration plan
	Need for peripheral venipuncture (32%)	Need for blood collection due to the lack of a central catheter Need for administration of drugs in situations where it was not possible to wait for viability of the central catheter Procedural pain
	Insertion of new CVC (21%)	Fasting Delay in the oral medication due to the necessity of fasting for the procedure Need for transfusion of blood components (red blood cells and/or platelet concentrate) before or after the procedure Exposure of the patient to an invasive procedure Exposure of the patient to anesthetic procedure Exposure to imaging examination (x-ray or computed tomography with contrast) Exposure to environments unsafe for immunosuppressed patients (elevator, corridors, surgical center, exam rooms) Procedural pain Rehospitalization for insertion of new catheter
	Delay in transfusion therapy (5%)	Delay in the transfusion of red blood cells concentrate Delay in the transfusion of platelets Delay in the infusion of hematopoietic stem cells
Subjective Damage	Emotional distress (100%)	Anxiety Insecurity Fear

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[1] CORRESPONDING AUTHOR: Sandra Regina da Silva. E-mail: sandra_silvah@yahoo.com.br

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Incidents related to the Hickman® catheter: identification of damages

Incidentes relacionados con el catéter de Hickman®: identificación del daño

ABSTRACT

Objective:

Method:

Results:

Final considerations:

Incidents related to the Hickman^® catheter: identification of damages

Incidentes relacionados con el catéter de Hickman^®: identificación del daño