S.T.I.C.K.: A Quality Improvement Pediatric IV Infiltration Prevention Bundle

Area of Science:

• Pediatric Nursing
• Quality Improvement
• Patient Safety

Background:

• Peripheral intravenous (PIV) catheters are essential for pediatric care but prone to dislodgement, leading to infiltration.
• Infiltration of fluids and medications poses risks to pediatric patients in medical-surgical, orthopedic, and neurology settings.

Purpose of the Study:

• To decrease the incidence of PIV catheter infiltration in pediatric patients.
• To implement an educational awareness program utilizing the S.T.I.C.K. mnemonic bundle for staff nurses and families.

Main Methods:

• A quality improvement project was conducted on a pediatric medical-surgical orthopedic and neurology unit.
• An educational awareness program centered on the S.T.I.C.K. mnemonic bundle was developed and implemented.
• Staff nurses were educated on managing PIV catheter care using the S.T.I.C.K. bundle.

Main Results:

• The incidence of PIV catheter infiltration decreased on the unit.
• Consistent utilization of the S.T.I.C.K. mnemonic bundle by staff nurses correlated with reduced infiltration rates.
• The educational program effectively engaged both healthcare staff and patient families.

Conclusions:

• The S.T.I.C.K. mnemonic bundle is an effective tool for reducing PIV catheter infiltration in pediatric patients.
• Educational interventions involving staff nurses and families can improve PIV care and patient outcomes.
• This quality improvement initiative enhanced patient safety in pediatric orthopedic and neurology care.