Kathy L. Grieser, BSN, RN, VA-BC: Elloquest: Consultant (Ongoing)
The numbers of peripheral IVs utilized every year is shared frequently in presentations throughout the world. It is often expressed that the first-time success rate is much lower in pediatrics. While working on a study for one particular vascular visualization device, we developed a comprehensive database to track all IV insertions in our institution. With that database, I am able to use this information to help identify team members that may be struggling with their skills, identify which brand of IV catheters are lasting longer according to site, technique used, looking at dwell times and reasons for removal. We are able to identify which visualization devices seem to be more useful according to patient demographics which is helpful for the novice nurses that may need to start PIVs in various departments throughout the medical center and outpatient areas. Measuring outcomes helps to identify areas that need improvement as well as identify success. To continue to build a vascular access team, data drives change to improve patient care. Improving patient care in the pediatric population can have long-term effects on these patients throughout their life.
Learning Objectives:
Identify common vascular access visualization devices used in pediatric patients.
List data points used in vascular access procedures that help follow trends, successes and failures in the pediatric population
Identify a clinical decision-making tool to guide utilization of vein visualization technologies and enhance chances of first-time success rate for peripheral intravenous catheter insertion in pediatrics.