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Nursing Practice With Transthoracic Intracardiac Catheters in Children: International Benchmarking Study

Amy Jo Lisanti1, Jamie Fitzgerald2, Stephanie Helman2

  • 1Amy Jo Lisanti is a Ruth L. Kirschstein NRSA Postdoctoral Fellow at the University of Pennsylvania School of Nursing in Philadelphia and a clinical nurse specialist/nurse researcher at Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Jamie Fitzgerald is a safety and quality specialist at Children's Hospital of Philadelphia. Stephanie Helman was a clinical nurse specialist at Children's Hospital of Philadelphia when the study was done. She is now a doctoral student at the University of Pittsburgh, Pittsburgh, Pennsylvania. Spencer Dean is a staff nurse in the cardiac intensive care unit at Children's Hospital of Philadelphia. Andrea Sorbello is a nurse practitioner and advanced practice provider team lead at Children's Hospital of Philadelphia. Heather Griffis is director of the Health Care Analytics Unit at Children's Hospital of Philadelphia. lisanti@email.chop.edu.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|May 3, 2019
PubMed

Insights

Nursing care for transthoracic intracardiac catheters in pediatric patients varies widely. Standardizing these practices can enhance patient safety and facilitate early mobilization after cardiac surgery.

Area of Science:

  • Pediatric Nursing
  • Cardiovascular Surgery
  • Intensive Care

Background:

  • Transthoracic intracardiac catheters are crucial post-cardiac surgery devices for infants and children.
  • Existing literature details complications but lacks focus on nursing management in the ICU.
  • Key nursing interventions include dressing, securement, mobilization, and flushing.

Purpose of the Study:

  • To benchmark current international nursing practices for transthoracic intracardiac catheters in pediatric patients.
  • To identify variations in care related to catheter management.

Main Methods:

  • A cross-sectional, descriptive study design was employed.
  • An online survey was administered to bedside and advanced practice nurses.
  • The survey assessed practices in catheter insertion/removal, dressing, flushing, securement, and patient mobilization.

Main Results:

  • Transthoracic intracardiac catheters are utilized in most centers performing pediatric open-heart surgery.
  • Significant variability in nursing practices for catheter care was observed across different institutions.

Conclusions:

  • Standardizing the use and nursing care of transthoracic intracardiac catheters can improve patient safety and outcomes.
  • Standardized protocols can promote safe and timely postoperative mobilization for pediatric patients.
Abstract

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