Direct cost of peripheral catheterization by nurses

To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit.

Method:

A quantitative, exploratory-descriptive, single-case study, whose sample consisted of the non-participant observation of 101 peripherally inserted central catheter procedures. The cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing professionals, participants in the procedure, by the unit cost of direct labor, added to the cost of materials, drugs, and solutions.

Results:

The average direct cost of the procedure was US$ 326.95 (standard deviation = US$ 84.47), ranging from US$ 99.03 to US$ 530.71, with a median of US$ 326.17. It was impacted by material costs and the direct labor of the nurses.

Conclusion:

The measurement of the average direct cost of the peripherally inserted central catheter procedure shed light on the financials of consumed resources, indicating possibilities of intervention aiming to increase efficiency in allocating these resources.

Descriptors:
Intensive Care Units; Critical Care Nursing; Vascular Access Devices; Costs and Cost Analysis; Direct Service Costs

Observation	n	Total US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Average US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	SD ^§ § SD - Standard deviation US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Median US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Minimum and Maximum US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;
Nurse costs	70	5,881.99	84.03	32.49	74.58	26.23 - 193.13
Technician/assistant costs	68	527.11	7.75	5.70	6.50	0.05 - 29.44
Nursing team ADC^† † ADC - Average direct cost;	70	6,409.15	91.56	32.98	85.22	40.03 - 198.90
Total material cost	70	10,523.24	150.33	75.11	111.73	74.86 - 422.29
Solutions cost	70	22.89	0.33	0.18	0.30	0.02 - 1.09
Drug cost	70	112.98	1.61	1.76	0.81	0.06 - 6.03
Procedure total ADC^† † ADC - Average direct cost;	70	17,068.26	243.83	84.47	243.05	123.15 - 530.71

Observation	n	Total US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Average US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	SD ^§ § SD - Standard deviation US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Median US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;	Minimum and Maximum US$^‡ ‡ Conversion rate: US$ 0.31/R$, based on the August 31, 2016 quotation from Brazil's Central Bank;
Nurse costs	31	2,076.55	66.99	22.30	63.27	26.23 - 132.17
Technician/assistant costs	30	179.79	5.99	6.05	4.14	0.30 - 24.72
Nursing team ADC^† † ADC - Average direct cost;	31	2,256.34	72.79	23.42	66.17	26.93 - 137.72
Total material cost	31	3,496.88	112.80	54.34	87.09	71.83 - 212.82
Solutions cost	31	10.52	0.34	0.16	0.29	0.11 - 0.87
Drug cost	31	54.91	1.77	1.74	0.69	0.06 - 5.17
Procedure total ADC^† † ADC - Average direct cost;	31	5,818.32	187.69	63.71	165.04	99.03 - 350.43

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding Author: Ana Beatriz Mateus Pires E-mail: ana.beatriz.mp@hotmail.com