Reducing pressure injuries in children caused by peripheral intravenous cannulae

Area of Science:

• Pediatric Nursing
• Patient Safety
• Medical Device Securement

Background:

• Peripheral intravenous cannulae (PIVC) are essential in pediatric care but can cause pressure injuries.
• An Australian pediatric ward identified an increased incidence of PIVC-associated pressure injuries.
• A quality improvement initiative was needed to address this patient safety concern.

Purpose of the Study:

• To reduce the incidence of pressure injuries in children related to peripheral intravenous cannulae (PIVC).
• To evaluate the effectiveness of a new PIVC securement method and staff education on pressure injury prevention.

Main Methods:

• Implemented a quality improvement project on an Australian pediatric ward.
• Introduced tubular bandages and microfoam surgical tape for PIVC securement, replacing crepe bandages.
• Provided education to nursing staff on medical device-related pressure injuries and securement changes.

Main Results:

• The new PIVC securement method and staff education led to improved skin inspections.
• A significant decrease in the incidence of pressure injuries associated with PIVCs was observed.
• Enhanced patient safety through effective medical device management.

Conclusions:

• The combination of modified PIVC securement and targeted staff education is effective in preventing pediatric pressure injuries.
• This quality improvement project demonstrates a successful strategy for reducing medical device-related harm in children.
• Continuous monitoring and education are crucial for maintaining patient safety in pediatric healthcare settings.