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RES261
Shower Glove – From a Bedside Idea to Reality
By: Evan Ballantyne; Florida Hospital Medical Center, Orlando, FL
For further information, please contact: Evan.Ballantyne@flhosp.org
Purpose: The purpose of this study was to evaluate a shower glove to protect a patients IV site from water exposure prior to showering or bathing. The glove was developed by a staff nurse who wanted to improve on the current process (cellophane, plastic bags and tape).
Background/Significance: The current process for protecting an IV site or PICC line from water exposure involves wrapping the extremity with cellophane wrap and tape in an attempt to create a “shield”, with highly variable performance often resulting in failing to provide a proper barrier. Often the site is compromised by water exposure leading to unnecessary changing of the IV line and/or dressing. In certain cases, the site could become infected due to repetitive water exposure or improper drying.
Methods: A quasi experimental study design was used, utilizing a purposeful sample. The study was approved by the hospital’s IRB and Office of Research Administration and informed patient consent was obtained. Ninety patients were enrolled utilized the shower glove and ninety 90 patients were showered utilizing the current techniques. Patient selection for the trial included those who were hospitalized for 3 – 4 days, had an arm circumference less than equal to 15 inches, and were able to use the shower facilities. Patients with arm circumference greater than 15 inches or patients with latex allergies were excluded. Nursing and patient satisfaction levels were scored.
Results: Covering IV sites for patient bathing is labor intensive, can be uncomfortable for the patient and often does not provide an adequate barrier for the dressing. With the shower glove 90% of IV sites remained dry versus 28% using the current standard. 59% of the patients reported discomfort or pain with the current standard, while only 1 patient reported some discomfort with shower glove. 92% of the patients had favorable responses to the shower glove versus 74% who reported unfavorable responses to the current standard. Finally, 96% of nurses preferred the shower glove over the current standard.
Conclusions: The shower glove was shown to increase patient satisfaction, reduce cost and pain associated with barrier dressing removal, IV site dressing changes and IV restarts due to accidental dislodging of the IV catheter during barrier removal.
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