A Standard Push-Pull Protocol for Waste-Free Sampling in the Pediatric Intensive Care Unit

Clare McBride1, Suzan Miller-Hoover, James A Proudfoot

  • 1Oregon Health and Science University, Doernbecher Children's Hospital, Portland, Oregon (Ms McBride); Rady Children's Hospital, San Diego, California (Dr Miller-Hoover); and University of California at San Diego, Altman Clinical and Translational Research Institute, San Diego, California (Mr Proudfoot). Clare McBride, BSN, RN, CCRN, is a pediatric intensive care and cardiac nurse at Oregon Health and Science University's Doernbecher Children's Hospital. She previously worked at Rady Children's Hospital in San Diego and presented this evidence-based practice project at the American Association of Critical Care Nurses' annual teaching conference. Suzan Miller-Hoover, DNP, RN, CCNS, CCRN-K, has been in the nursing profession for more than 35 years. An experienced national speaker and peer-reviewed author, Dr Miller-Hoover is passionate about evidence-based best practice and pediatrics. James A. Proudfoot, MSc, is a senior statistician at the University of California at San Diego, Altman Clinical and Translational Research Institute. He has consulted on numerous clinical trials and is a coauthor of more than 25 articles.

Summary

Reducing blood loss in pediatric intensive care units (PICUs) is crucial. A new push-pull blood sampling protocol minimizes blood loss from central venous catheters, preventing anemia and transfusions.

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