(H1) Part 1: The Nose Knows: Improving the Patient Experience During Vascular Access Using Aromatherapy / Part 2: Reducing Patient Anxiety During IV Insertions with Virtual Reality

Part 1:
Literature exists on the use of aromatherapy, but it is limited in the vascular access setting. This project was deemed quality improvement (QI) by the institution’s IRB and was conducted at an adult, ambulatory oncology clinic in the lab services department. The project was implemented over six weeks. Patients who confirmed interest and agreed to participate were screened for eligibility and given a pre-survey. The three scents were lavender, peppermint, and ginger. A post-survey was completed after the procedure. A staff survey was completed after the implementation period. Of the 665 patients asked, 311 participated. Vascular access procedures performed included port access (41%), phlebotomy (40%), or PIVC placement (19%). Patients appreciated the distraction, and almost half reported less actual pain and anxiety than anticipated. Patients and staff found it easy to use and agreed that it improved the experience. 70% of patients would use again and 100% of staff recommended its use.

Part 2:
Needle phobia is a common issue that affects not only children but also adults seeking care in emergency departments. Over the past two decades, technological advancements, including virtual reality, have significantly improved the management of patient anxiety. This presentation will examine the use of an innovative virtual reality intervention to alleviate anxiety and pain during PIVC insertions. We will present findings from a clinical trial and a qualitative study conducted in an emergency department, focusing on the perspectives of clinicians performing the procedures and key lessons learned. The session will also cover the feasibility and usability of the VR device, along with insights from both patients and clinicians involved in the process.