VIP score
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The Visual Infusion Phlebitis score is a very popular tool for monitoring infusion sites. It is the tool recommended by the RCN for monitoring infusion sites. In 2006 Paulette Gallant and Alyce Schultz completed an evaluation of the VIP score as a tool that determines the appropriate discontinuation of peripheral intravenous catheters. The authors state that “The VIP scale, as evaluated in this study, was considered to be a valid and reliable measure for determining when a PIV catheter should be removed” Gallant and Schultz (2006).Please find below a selection of VIP scores:
References
Gallant P and Schultz AA (2006) Evaluation of a visual infusion phlebitis scale for determining appropriate discontinuation of peripheral intravenous catheters. Journal of Infusion Nursing. vol. 29, no. 6, p. 338-45.
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[...] VIP score [...]
I place PICC/PIV’s. I just encountered an individual that had slight reddness and blistering around the perimeter of a dressing that wa subsequently taped down, what would be recommended for someone with an allergy to tegaderms’, tape?. ANd There was only slt pain and erythema around the perimeter
YOUR VIP Score: great
Thank you for your message. I would try a no-sting barrier solution such as Cavilon http://solutions.3m.com/wps/portal/3M/en_GB/Cavilon/skin-care/
It puts a sterile hypoallergenic layer between the patient and the adhesive of the dressing. Hope this helps.
Andrew
[...] A recent article in the Journal of Infusion Nursing has examined the issue of peripheral cannula phlebitits. The authors found that average dwell time was 1.9 days and an overall phlebitis rate of 3.7% was described. No suprises with these results. However, the authors go on to describe “asymptomatic peripheral IVs may not need to be removed at regular intervals because there were healthy, asymptomatic sites had an indwell time up to 10 days” (Powell, Tarnow and Perucca 2008). These results further support the need to closely monitor peripheral cannula sites with a tool such as the VIP score. [...]