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Related Experiment Videos

Initiating a pediatric peripherally inserted central catheter and midline catheter program

P A BeVier, C E Rice

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |July 1, 1994
    PubMed
    Summary

    Establishing a peripherally inserted central catheter (PICC) and midline catheter program in a pediatric hospital presented challenges. Despite these, the program proved invaluable for children needing extended intravenous therapy.

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    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.

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  • 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.