IV Nursing in Asia

Country: Taiwan, Republic of China

Presenter: Chung-Yi, Tai

Institution: Wan-fang Medical Center, Taipei

Country Flag

2010 GLOBAL IV LEADERSHIP CONFERENCE

Brief description of country/city/hospital

location – show picturesCountry population

Status of IV Nursing

Percentage of patients (in hospital) who receive infusion therapy : more than 90% (without the official statistics)

Rate of peripheral catheter used (in hospital) : more than 90% (without the official statistics)

Rate of central catheter used (in hospital) : 56%(the average number of TQIP members )

Medical Expenditure Per Capita

NHE NHE/GDP 歷年平均每人 及 比

5.55

5.77

6.17 6.11 6.09 6.12 6.05

6.39

6.07 6.05

5.45

5.74

4.46

4.704.86

4.94

5.365.46

34,287

29,867

26,81027,739 28,780

25,14723,482

21,74920,178

10,76012,501

14,17415,650

18,287

26,072

30,67931,952

33,332

4.0

4.5

5.0

5.5

6.0

6.5

7.0

7.5

80年 81年 82年 83年 84年 85年 86年 87年 88年 89年 90年 91年 92年 93年 94年 95年 96年 97年

%

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

元

GDP占 比率

NHE平均每人

(Resource: Department of Health, Executive Yuan, R. O. C.)

NTD

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Medical Expenditure Per Capita

Medical Expenditure Per Capita and Ratio of MEPC VS GDP

Ratio of MEPC VS GDP

歷年醫療院所家數

810828

787773

750

719700

669

637

610594 590

556 547530

515

822

19,659

13,646

500

550

600

650

700

750

800

850

900

950

81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97年

10,000

12,000

14,000

16,000

18,000

20,000

22,000醫院家數 診所家數

診所

醫院

Numbers of Clinics and HospitalsHospital Clinic

Hospital

Clinic

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008(Resource: Department of Health, Executive Yuan, R. O. C.)

Numbers of Clinics and Hospitals

Improvement of Intravenous Injection

Status of IV Nursing

SUGGESTIONS FOR CONTENT, cont

IV Nursing - is it a recognized specialty in your country?

If yes, is the specialty recognized by national or local Nursing Association?

Does the Ministry of Health recognize IV Nursing as a specialty?

Are there specific educational requirements for a nurse to become a specialized IV nurse?

Is there a defined Scope of Practice? Applied nationally? Locally? Or within each individual hospital only?

Is there an IV Nursing Society or Association which meets at regular intervals?

If no IV nurse specialists exist, who inserts peripheral catheters? Central short term catheters?

Are PICC catheters used frequently? Who inserts them? Are there any patients with PICCs cared for in the home? Who provides this care?

Who performs care and maintenance on all IV catheters?

Standards of Practice for IV Nursing

Do Standards of Practice for IV Nursing exist your country? Who sets the Standards?

If yes, are they enforced: Nationally? Locally? Within individual hospitals only?

If no, is there an intent/interest to develop such standards? Who would lead the effort How would these Standards be enforced?

Are International Guidelines/Standards followed in your country? CDC? INS? SHEA?