Power Hour Breakout
M6 — Reducing PIVC Failure Through SUCCESS PIVCS Insertion and Maintenance Bundle of Care
Tuesday, September 18
9:15 AM - 10:15 AM
Presentation CE Credits: 1
Peripheral intravenous catheters (PIVs) are prevalent in pediatric healthcare and routinely cited as one of the most painful and anxiety producing experiences. The insertion and care of PIVs are a complex interdisciplinary responsibility. PIV's are associated with a high rate of failure and dysfunction.
The aim of this prospective pre-post intervention study was to improve PIV outcomes and reduce failure and its unintended sequalae. This multi-faceted intervention included; staff surveys and patient/parent interview, audit of current practice, implementation of SUCCESS PIVCS mnemonic to prompt best practice, visual aids and identification of change champions.
Implementation of SUCCESS PIVCS was associated with improvements in first time insertion success P= 0.024 and success of the first person attempting PIVC insertion P=0.001. Additionally, staff survey and patient/parent interviews highlighted lack of training and support for healthcare workers and insight into the patient and parent/caregiver experience to assist development and implementation of innovative practice improvement to improve outcomes and patient experience.
- Identify the various causes of PIV failure in pediatrics
- Describe common themes parents and caregivers identified as triggers that increase their anxiety relating to insertion and care of their child's PIV during their inpatient experience.
- Describe and demonstrate the minimum requirements to conduct a thorough PIV assessment
- Conduct a quality improvement activity within their own clinical area to audit PIV outcomes
- Implement best practice for PIV insertion and maintenance to reduce failure, increase first time insertion success and reduce pain and anxiety for pediatric patients requiring PIV insertion.