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Utilization of an Intravenous Line Lifter Within a Pediatric Oncology Population
Teresa Herriage1, Mary C Hooke2, Andrew Streifel3
1Children's Hospital and Clinics of Minnesota, Minneapolis, MN, USA teresa.herriage@childrensmn.org.
Insights
A new device, the IV Line Lifter, significantly reduced contamination on intravenous (IV) tubing for young cancer patients. This innovation helps prevent infections by keeping IV lines off the hospital floor.
Area of Science:
- Pediatric Oncology
- Infection Control
- Medical Device Innovation
Background:
- Young cancer patients often require central lines for treatment.
- Ambulating with intravenous (IV) infusions can lead to tubing contamination from the hospital floor.
- Contaminated tubing increases the risk of central line-associated bloodstream infections (CLABSIs) on patient linens.
Purpose of the Study:
- To evaluate the effectiveness of the IV Line Lifter device.
- To determine if the device can decrease exterior IV tubing contamination.
- To assess the impact on central line-associated bloodstream infection risk.
Main Methods:
- Adenosine triphosphate (ATP) bioluminescence testing quantified organic matter on IV tubing.
- Testing was conducted on ambulatory pediatric cancer inpatients (ages 2-10).
- Measurements were taken pre- and post-implementation of the IV Line Lifter.
Main Results:
- Relative light unit (RLU) levels, indicating contamination, significantly decreased post-implementation (P < .001).
- Device users reported improved ease of ambulation.
- Users expressed willingness to continue using the device.
Conclusions:
- The IV Line Lifter effectively keeps IV tubing elevated, preventing floor contamination.
- The device facilitates easier patient ambulation during infusions.
- Implementing the IV Line Lifter can reduce the risk of CLABSIs in pediatric oncology patients.
Abstract:
Young children with cancer often have central lines. When ambulating during an intravenous infusion, their tubing drags on the hospital floor resulting in contamination of the exterior of the tubing. The tubing can then contaminate the children's linens, where central line procedures occur, increasing the risk of a central lineassociated blood stream infection. The purpose of this project was to evaluate the IV Line Lifter as a device to decrease contamination of the exterior of IV tubing. Baseline adenosine triphosphate bioluminescence testing was used on the exterior IV tubing to quantify organic matter as relative light units. The bioluminescence tests were performed on ambulatory, inpatient children with cancer ages 2 to 10 years, preimplementation (n = 29) and postimplementation (n = 18) of the IV Line Lifter. Relative light unit levels significantly decreased postimplementation (P < .001). Users of the device reported ease of ambulation when using the device and a willingness to use again. Results support the need for an IV Line Lifter to keep IV tubing off of the hospital floor, to ease ambulation, and decrease the risk of central line-associated blood stream infection.
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