Pediatric

Power Hour Breakout

(D7) Making Your First Stick Count: Identification and Management of Children with Difficult Peripheral Venous Access

Presenter(s)

• 

  Jessica Schults, RN, MAppSci(Research)

  Research Fellow
  Alliance for Vascular Access Teaching and Research (AVATAR) Group, Griffith University

  Nothing to Disclose

Co-Presenter(s)

• 

  Tricia Kleidon, RN, BSc(Nursing), GradCert.(Pediatrics), MNursSci(NursePrac)

  Nurse Practitioner and Research Fellow
  Queensland Children's Hospital

  3M () : Speaker's Bureau; Angiodynamics () : Grant/Research Support, Speaker's Bureau; Baxter Healthcare () : Grant/Research Support, Other Financial or Material Support, support with in kind supply of product; Carefusion/BD Medical () : Speaker's Bureau; Centurion Medical Products () : Grant/Research Support; COOK Medical () : Speaker's Bureau; CR Bard Medical () : Consultant, Other Financial or Material Support, support workshop with use of equipment; MSA () : Speaker's Bureau; Vygon: Speaker's Bureau (Status: Terminated --- 1//2019)

Around 50% of children require peripheral venous access, yet the average insertion takes more than 2 attempts and 30 minutes. Let’s explore the options for reducing the number of attempts and the time and resources required to place IV’s.
This presentation will provide a systematic critique and evaluation of the tools, technology and training that need to be a part of daily pediatric peripheral IV insertion practice, towards improvement in patient and health services outcomes. This includes the results of an international survey of tools and escalation pathways for children with difficult venous access; a meta-analysis of randomised trials comparing ultrasound guided peripheral intravenous cannulation with standard technique in patients with difficult venous access; and an overview of the development and implementation of a pediatric ultrasound guided peripheral intravenous cannulation training program for interdisciplinary clinicians.

Learning Objectives:

• Identify the impact of failed peripheral IV attempts on a child’s healthcare and vascular access journey
• Demonstrate an understanding of the current tools and pathways for recognizing and escalating children with difficult peripheral venous access
• Define the benefits of using technology to assist with peripheral IV insertion in children with difficult peripheral venous access
• Identify opportunities for improvement and strategies which optimize first attempt peripheral IV success and vessel health preservation in pediatrics