IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 6 Ver. III. (Nov.- Dec .2017), PP 67-74 www.iosrjournals.org DOI: 10.9790/1959-0606036774 www.iosrjournals.org 67 | Page Effect of Execution of the Peripheral Intravenous Cannula Care Bundle on Reducing the Incidence of Infection *Walaa Nasreldin Othman 1 ,Shaimaa Ahmed Awad 2 1 lecturer of Medical -Surgical Nursing, Faculty of Nursing-Mansoura University 2 lecturer of Critical Care Nursing, Faculty of Nursing-Mansoura University Corresponding Authors: *Walaa Nasreldin Othman Abstract Background: Today the insertion of peripheral intravenous cannulas is a common practice in hospitals, however local and systemic complications may be raised because of presence of such cannulas in situ. Aim: The aim of this study was to evaluate the effects of execution of the peripheral intravenous cannula care bundle on reducing the incidence of infection. Methods: this study was carried out in a Critical Care and Convalescence Unit at Mansoura Main University Hospital with 60 patients who have had a peripheral intravenous cannula and all staff nurses who are working at the previously mentioned setting and willing to participate in the study. Results: The results noted that, the overall compliance of nurses regarding peripheral intravenous cannula care bundle was 70 % in both insertion and ongoing care actions post-education, which was significantly improved compared to pre-education. In addition, the presence of microorganisms was 46.7% pre-education compared to 3.3% post education which was highly statistically significant (P<0.001). Conclusion: Adoption of the simple, inexpensive, and evidence-based peripheral intravenous cannula care bundle is the best approach to prevent complications of peripheral intravenous cannula in the future. Keywords: care bundle, peripheral cannula, infection, incidence ---------------------------------------------------------------------------------------------------------------------------- Date of Submission: 07-10-2017 Date of acceptance: 18-11-2017 ---------------------------------------------------------------------------------------------------------------------------- I. Introduction The insertion of peripheral venous catheters (PVC) is the most common invasive procedure among patients admitted to hospital.However, PVCs are not withoutcomplications. These complications are local and systemic. Local complications include phlebitis which is manifested by tenderness and redness at tip of cannula and along vein, Extravasation which is manifested by swelling at and above I.V. site, discomfort and tight feeling, blanching, decreased skin temperature at site and continuing fluid infusion even when vein is occluded, cannula dislodgement which may be caused by loosened tape or pulling out of the cannula by confused patient and occlusion, which is manifested by difficult infusion flow is a common complication of PVC. (Ricchia, M., et al, 2005 and Sriupayo, A.,et al, 2014). Systemic complications include systemic infection, allergic reaction, circulatory overload and air embolism. (McCann, J., et al, 2004) Cannula-related blood streaminfectionsare caused by microorganisms – includingStaphylococcus epidermidis, Staphylococcusaureus, Candidaspecies and Enterococciwhich introduced withincontaminated infusion fluid. (Boyd, S., et al, 2011) Most previous studies reported the risk factors of PVC complications, which comprised patient characteristics, therapy administered, practice of health professionals, and materials used. Nurses, in particular, have important responsibilities in intravenous cannula application. Poor nurse compliance with care regarding PVC is leading to serious events of infectious complications (Sriupayo, A.,et al, 2014) . In order to avoid all theses complications, registered nurses must ensure their information and practices related to the managing of peripheral venous canuulas are highly developed and evidence based as they are responsible for assessing and preparing the patient before the insertion of peripheral cannula, care and maintenance of the cannula and preventing the development of complications (Boyd, S., et al, 2011).