Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians

Luciano Marques Dos Santos1,2, Taynara Bispo Conceição1, Cleonara Sousa Gomes E Silva1

  • 1Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil.

Insights

Nursing technicians showed significant gaps in peripheral intravenous catheterization care practices for hospitalized children. Many observed procedures did not align with recommended standards, highlighting a need for improved training and adherence to best practices in pediatric care.

Area of Science:

  • Pediatric Nursing
  • Infection Control
  • Patient Safety

Background:

  • Peripheral intravenous catheterization is a common procedure in pediatric care.
  • Adherence to standardized care practices is crucial for preventing complications.
  • Previous studies indicate variability in nursing practice during catheterization.

Purpose of the Study:

  • To evaluate nursing technicians' care practices during peripheral intravenous catheterization in hospitalized children.
  • To identify deviations from recommended protocols before, during, and after catheter insertion.
  • To assess the quality of care provided in a pediatric setting.

Main Methods:

  • Cross-sectional, descriptive study utilizing non-participatory observation.
  • Data collected via an instrument assessing care practices at three procedural stages.
  • Analysis included frequency calculations and measures of central tendency and dispersion.

Main Results:

  • Thirty-one nursing technicians participated in the observation.
  • Care practices were predominantly focused on the pre-insertion phase.
  • Identified nonconformities included issues with hand hygiene, mask use, site selection, antisepsis, stabilization, and catheter coverage.

Conclusions:

  • Observed peripheral intravenous catheterization practices frequently deviated from national and international standards.
  • Significant gaps exist in the adherence to recommended precautions.
  • There is a critical need to reinforce evidence-based practices in pediatric catheterization care.
Abstract

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