Initiating a pediatric peripherally inserted central catheter and midline catheter program

Area of Science:

• Pediatric vascular access
• Intravenous therapy in children
• Healthcare program development

Background:

• Limited literature exists for pediatric peripherally inserted central catheter (PICC) and midline catheter use.
• A 260-bed pediatric hospital faced challenges initiating a vascular access program.
• Physician-initiated programs require intravenous team management.

Purpose of the Study:

• To describe the implementation of a PICC and midline catheter program in a pediatric hospital.
• To identify challenges encountered during program initiation and management.
• To evaluate the program's success and value for pediatric patients.

Main Methods:

• The intravenous team assumed responsibility for the PICC and midline catheter program.
• Challenges were documented, including administrative, patient comfort, clinical reactions, equipment, maintenance, and education.
• Data on catheter placements were collected.

Main Results:

• The intravenous team successfully placed 84 catheters.
• Key challenges included administrative hurdles, insertion discomfort, adverse reactions, equipment issues, maintenance, and staff training.
• The program addressed a critical need for extended intravenous therapy in pediatric patients.

Conclusions:

• Despite initial challenges, the PICC and midline catheter program is invaluable for pediatric patients.
• Successful implementation required addressing administrative, clinical, and educational factors.
• The program highlights the importance of specialized intravenous teams in pediatric care.