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Pediatric peripheral i.v. insertion success rates
1Children's Hospital, Omaha, NE, USA.
Pediatric Nursing
|December 4, 2003
Summary
This study established a standard of practice for peripheral intravenous (PIV) insertion, limiting registered nurse (RN) staff to four attempts. Data showed 91% success within four attempts, defining a new PIV insertion benchmark.
Area of Science:
- Nursing Practice
- Clinical Standards
- Vascular Access
Background:
- Peripheral intravenous (PIV) insertion is a common procedure in inpatient settings.
- Establishing clear practice standards and success rates for registered nurses (RNs) is crucial for patient care quality.
- Previous data on PIV insertion success rates among RN staff were limited.
Purpose of the Study:
- To determine an acceptable practice standard for PIV insertion.
- To evaluate the insertion success rates of inpatient medical/surgical RN staff.
- To define a maximum number of attempts for PIV insertion by RNs.
Main Methods:
- Prospective, non-randomized study design.
- Involved 249 total i.v. placements by inpatient medical/surgical RN staff.
- Data collected via self-report over 20 months across three separate occasions.
Main Results:
- First attempt PIV cannulation success rate was 53%.
- Success rate within two attempts was 67%.
- Success rate within four attempts reached 91%.
- Overall PIV placement success by RN staff was 85%.
Conclusions:
- The standard of practice for PIV insertion is now defined as a maximum of four attempts by RN staff.
- This study provides a benchmark for PIV insertion success rates.
- Further data collection is recommended to substantiate this defined standard for PIV placement.