Creating a workflow or algorithm for multiple PIV (Peripheral Intravenous) or PICC (Peripherally Inserted Central Catheter) attempts is crucial for several reasons, particularly to prevent infections:

1. Standardization of Practice: A well-defined workflow ensures that all healthcare providers follow the same steps, reducing variability in care and minimizing the risk of contamination.

2. Minimizing Infection Risk: Each attempt to insert a PIV or PICC increases the risk of introducing pathogens. A structured algorithm can help limit the number of attempts by guiding clinicians to the best practices, such as proper site selection, use of sterile techniques, and ensuring appropriate training.

3. Guidance on Best Practices: The workflow can provide decision-making support, helping clinicians determine when to proceed with another attempt or seek alternative access methods, which can reduce unnecessary attempts and associated infection risks.

4. Efficient Use of Resources: An algorithm can help optimize the use of supplies and time by providing clear steps to follow, potentially reducing the number of attempts needed and decreasing the chance of infection due to prolonged procedures.

5. Tracking and Monitoring: A structured approach allows for better documentation and monitoring of each attempt, making it easier to identify patterns that may contribute to infections and to implement further improvements.

6. Patient Safety: By reducing the number of attempts and standardizing the procedure, patient safety is enhanced, leading to better outcomes and a lower incidence of complications such as catheter-related bloodstream infections (CRBSIs).

In summary, a workflow or algorithm for multiple PIV or PICC attempts is essential to standardize procedures, reduce infection risks, ensure efficient use of resources, and ultimately enhance patient safety.

Expert Resources:  Skilled unit-based practitioners, PICC RNs, Anesthesia, Ultrasound trained practitioners.