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Published on: July 13, 2019
Implementing an Evidence-Based Practice Project in the Prevention of Peripheral Intravenous Site Infiltrations in
1West Chester University, West Chester, Pennsylvania. John T. Taylor, DNP, RN-BC, CPN, is an assistant professor of nursing at West Chester University in West Chester, Pennsylvania. Previously, he was an education specialist at Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center.
Insights
Implementing bedside-nurse training and frequent assessments can reduce peripheral intravenous (IV) site complications in hospitalized children. This study evaluated these interventions in a pediatric acute care unit to improve patient safety.
Area of Science:
- Pediatric Nursing
- Infusion Therapy
- Patient Safety
Background:
- Peripheral intravenous (IV) access is crucial for over 90% of hospitalized patients.
- Peripheral IV site complications like infiltration and phlebitis pose significant risks, especially in children.
- Effective interventions are needed to mitigate these risks.
Purpose of the Study:
- To evaluate the implementation of bedside-nurse training and frequent assessments.
- To reduce the incidence of peripheral IV site complications in a pediatric acute care setting.
Main Methods:
- Implementation of a structured bedside-nurse training program.
- Introduction of more frequent peripheral IV site assessments by nurses.
- Evaluation of complication rates before and after intervention.
Main Results:
- Data on the reduction of peripheral IV site complications will be presented.
- Analysis of the impact of nurse training and assessment frequency on patient outcomes.
- Assessment of the feasibility and effectiveness of the implemented interventions.
Conclusions:
- Bedside-nurse training and frequent assessments are likely to decrease peripheral IV complications.
- These interventions can enhance patient safety in pediatric infusion therapy.
- The findings support the adoption of these practices in pediatric acute care units.
Abstract:
More than 90% of hospitalized patients require peripheral intravenous (IV) access for the delivery of fluids, nutrition, or medication. Peripheral IV site complications, such as infiltration and phlebitis, account for the greatest risk to most patients receiving infusion therapy. These complications may result in substantial acute or chronic injury, which may be further exacerbated if the affected individual is a child. Evidence suggests that the implementation of bedside-nurse training and more frequent assessment will reduce the risk for peripheral IV site complications. This project evaluates the implementation of these interventions on a pediatric acute care unit.
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