Development of Clinical Nursing Practice Guideline : Pre- vention Blood Clotted of Intravenous Peripheral Normal Saline Lock

Abstract

The objective of this article is to present the process of using the evidence-based method for developingof Clinical Nursing Practice Guideline for prevention of blood clotting in peripheral intravenous locks in adultpatients. This project was implemented at the department whose plan of treatment is using the intermittentintravenous lock. Staff nurses were encouraged to use and evaluate this clinical practice guideline by themselvesand her colleagues.  The results indicated that nurses can practice this clinical practice guideline more than 90%The sample was   266 episodes. The result supported the use of normal saline with a patency of 200 episodes(75.2%) and had 66  episodes of clotting  (24.8%).  From the quality evaluation, phlebitis grade 0 of 206episodes was the result. (77.4%) This project was conducted on multi classification patients , for example, critical patients undergoing chemotherapy. Thus, it is recommended that further studies should be done on thenext study may be only one type patients, based on  this practice guideline can for  adult general patients.