A fall in bloodstream infections followed a change to 2% chlorhexidine in 70% isopropanol for catheter connection antisepsis: a pediatric single center before/after study on a hemopoietic stem cell transplant ward.

Background: Some catheter-related bloodstream infections originate from catheter connectors; therefore, improved antisepsis of these might be expected to reduce the incidence of such infections.

Methods: In this observational before/after study at a pediatric tertiary referral hospital, inpatients up to 16 years old undergoing hemopoietic stem cell transplants were studied. Catheter connection antisepsis was changed from 70% isopropanol alone to 2% chlorhexidine in 70% isopropanol.

Navigating the maze: parents' views and influence on a paediatric haematology and oncology day care service.

Aim: To examine with families their views on the service they receive in a Paediatric Haematology/Oncology Day Care Unit.

Background: National policy emphasises the importance of involving children, young people and families in the planning of services they are receiving. To be responsive to real, as opposed to perceived needs, health care professionals are actively seeking ways to capture the voice of the families they care for through a process of consultation and action.

Audit of peripheral venous cannulae by members of an i.v. therapy forum.

This article describes a clinical audit of peripheral venous cannulae (PVC) undertaken by members of a national intravenous therapy forum. PVC care was reviewed using the RCN 'Standards for Infusion Therapy' and the Department of Healh's 'Winning Ways' report, action area 2 (DH, 2003; RCN, 2003) to define best practice. Data were collected by members of the forum and submitted for analysis by the members' coordinator.

Strategies to reduce the risk of needle and sharps injuries.

Needle or sharps injuries are common, underreported and often preventable (Department of Health, 2004). This article describes when, how and why these injuries occur and who is at risk. It provides an overview of recent legislation and outlines strategies to minimise risks.

Vascular access: indications and implications for patient care.

This overview of the vascular access devices available for adult patients explains how careful selection and management of the device can minimise the complications associated with infusion therapy.