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Interhospital Transport of Children With Peripheral Venous Catheters by Private Vehicle: A Mixed Methods Assessment

Courtney W Mangus1, Therese Canares1, Bruce L Klein1

  • 1From the Departments of Pediatric and Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.

Pediatric Emergency Care
|September 14, 2020
PubMed

Insights

Caregiver satisfaction with patient transport via personal vehicle (POV) for children needing hospital transfer is high. Using a peripheral venous catheter (PIV) did not increase complications during POV transport, making it a safe option.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Logistics
  • Patient Transport

Background:

  • Children requiring emergency care often need transfer to tertiary centers.
  • Interhospital transport options include ambulance or patient's own vehicle (POV).
  • The impact of peripheral venous catheters (PIVs) on POV transport satisfaction and complications is unknown.

Purpose of the Study:

  • To evaluate caregiver satisfaction and perceptions of POV transport for children.
  • To assess PIV-related complications during POV transport.
  • To compare experiences of children with and without PIVs during POV transport.

Main Methods:

  • Prospective cohort study of children needing interfacility transfer.
  • Caregivers chose between POV or ambulance transport.
  • Mixed-methods surveys assessed satisfaction, comfort, safety, and PIV complications.
  • PIV integrity was assessed by the receiving hospital.

Main Results:

  • High caregiver satisfaction reported for POV transport (96% would choose again).
  • No significant differences in satisfaction or comfort between children with/without PIVs.
  • No PIV complications were reported; all PIVs remained functional.
  • Qualitative themes included comfort, convenience, and efficiency.

Conclusions:

  • Patient's own vehicle (POV) transport is a preferred option for families in select interfacility transfer scenarios.
  • Saline-locked peripheral venous catheters (PIVs) do not lead to complications during POV transport.
  • POV transport offers a viable, satisfactory alternative to ambulance transport for pediatric patients.
Abstract

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