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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Reflections on setting up a nurse-led paediatric peripherally inserted central catheter service

Samuel A Ojo1

  • 1Intravascular Nurse Practitioner, Variety Children's Hospital, King's College Hospital NHS Foundation Trust, London.

British Journal of Nursing (Mark Allen Publishing)
|July 23, 2020
PubMed

Insights

This study details the successful establishment of a nurse-led paediatric peripherally inserted central catheter (PICC) service. The service demonstrated significant growth, inserting 55 lines during its trial and 301 lines in the interim phase.

Area of Science:

  • Pediatric healthcare
  • Vascular access devices
  • Nursing practice

Background:

  • Establishing specialized services in pediatrics is crucial for improving patient care.
  • Peripherally inserted central catheters (PICCs) are essential for long-term vascular access in children.
  • Nurse-led services can enhance efficiency and patient outcomes.

Purpose of the Study:

  • To describe the implementation and experience of a new pediatric peripherally inserted central catheter (PICC) service.
  • To evaluate the initial phases of a nurse-led PICC insertion service in a pediatric setting.

Main Methods:

  • Review of service data from October 2014 to December 2019.
  • Analysis of PICC line insertions during a trial phase (Oct 2014 - Dec 2016) and an interim service phase (Jan 2017 - Dec 2019).

Main Results:

  • The trial phase saw 55 PICC lines inserted.
  • The interim service phase resulted in 301 PICC lines inserted.
  • The service demonstrated progressive growth and capacity.

Conclusions:

  • A nurse-led pediatric PICC service can be successfully established and scaled.
  • The implementation highlights the feasibility and growth potential of specialized nursing services for vascular access in children.

Keywords:
Nurse-led IV servicePaediatric linesPeripherally inserted central cathetersVascular access devices

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