Pediatric

Power Hour Breakout

(O4) A Feasibility Study to Compare Clinical Perception versus the Difficult Intravenous Access (DIVA) Assessment Tool in Predicting Difficult Paediatric Intravenous Access

Presenter(s)

• 

  Catherine Miller, BachelorofNursing(Hons), GraduateDiplomainPaediatricCriticalCare, PhDcandidate

  Registered Nurse;Lecturer
  SA Medical Imaging: Women's and Children's Hospital Adelaide, Australia; University of South Australia

  Nothing to Disclose

This feasibility study highlighted a number of issues which would need to be considered in future studies.The high usage of utrasound (US) guidance for PIVC insertion was unexpected.In contrast to the present study, previous larger studies have not demonstrated that US guidance decreases the number of attempts taken to successfully insert PIVCs in children predicted to have difficult intravenous access (DIVA).The use of US guidance for PIVC insertion in children and the factors which contribute to successful insertion on the first attempt as demonstrated in this study warrant further investigation.The similarity between doctors and nurses in correctly predicting DIVA and successful first-time insertion of PIVCs supports previous studies which have shown that nurses who are competent at inserting PIVCs may have similar PIVC insertion success rates to doctors. As utilising nursing staff for PIVC insertion is more cost-effective and there is greater availability of nurses than doctors in Australia, the development of specialist paediatric PIVC insertion nurses may be beneficial for patients and the health care system.


 

Learning Objectives:

• describe issues identified with utilising the DIVA Tool or clinician perception to predict difficult intravenous access in children.
• identify potential confounders when planning future research into difficult intravenous access in children
• identify potential areas for future research into difficult intravenous access in children