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Securing pediatric peripheral i.v. catheters--application of an evidence-based practice model
Robin Hetzler1, Marian Wilson, Elizabeth K Hill
1Kootenai Health, Coeur d'Alene, ID 83814, USA.
Journal of Pediatric Nursing
|March 23, 2011
Summary
Pediatric nurses explored best practices for securing peripheral intravenous catheters (PIVs) to reduce restarts. Current securement methods are inconsistent, indicating a need for further research into optimal techniques for preserving pediatric IVs.
Area of Science:
- Pediatric Nursing
- Evidence-Based Practice
- Medical Device Securement
Background:
- Peripheral intravenous catheter (PIV) insertion is a common but distressing procedure for pediatric patients.
- Minimizing PIV restarts is crucial to reduce patient trauma and healthcare costs.
- Optimal securement methods for pediatric PIVs lack robust evidential support.
Observation:
- Pediatric nurses frequently observed premature PIV dislodgement or failure at a community hospital.
- Nurses identified inconsistencies in current PIV securement practices.
- An evidence-based practice project was initiated to address knowledge gaps in pediatric PIV maintenance.
Findings:
- Current PIV securement practices among pediatric nurses were found to be inconsistent.
- Limited evidence exists to guide the selection of optimal PIV securement techniques for children.
- Further research is necessary to establish best practices for pediatric PIV securement.
Implications:
- Standardizing PIV securement protocols can potentially improve catheter dwell times.
- Addressing practice inconsistencies may reduce the frequency of repeat PIV insertions in children.
- Future research should focus on evaluating different securement devices and methods for pediatric populations.
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