Utilization of a biomedical device (VeinViewer<sup>®</sup>) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses

McNeely, Heidi; Ream, Theresa L.; Thrasher, Jodi M.; Dziadkowiec, Oliwier; Callahan, Tiffany J.

doi:10.1111/jspn.12208

Cited by 16 publications

(14 citation statements)

References 15 publications

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“…Standards for PIVC care were developed using published recommendations for best practice based on existing evidence, clinical applicability and economic impact (Table 1) (Cuper et al, 2013;Demir & Inal, 2019;McNeely, Ream, Thrasher, Dziadkowiec, & Callahan, 2018). The importance of the PIVC dressing and securement is emphasized in numerous study findings (Hetzler, Wilson, Hill, & Hollenback, 2011;Hugill, 2016;Kleidon et al, 2017;Kleidon, Cattanach, Mihala, & Ullman, 2019;Watterson et al, 2018).…”

Section: Standardizing Procedures and Educationmentioning

confidence: 99%

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Mulemba

Bank

Sabantini

et al. 2021

Journal of Pediatric Nursing

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To change pediatric oncology nursing management of peripheral intravenous catheter (PIVC) insertion and care based on current best evidence. Design and methods: Practice change strategies were developed, and nurses completed education on proper PIVC insertion, dressing placement, and ongoing PIVC assessment with emphasis on preventing chemotherapy extravasation. Nurses also completed a chemotherapy course as part of their orientation program. The plan for PIVC practice change was based on evidence from published research and established PIVC care guidelines. Preassessment data revealed numerous PIVC attempts and a high incidence of extravasation (42%) in children with cancer receiving treatment in Malawi. Results: Post-assessment data nine months later resulted in a reduced extravasation rate from 42% to 4% using point prevalence assessments. PIVC insertion attempts reduced following education and guideline implementation; 81% of children required more than 3 PIVC insertion attempts before the practice change. Only 1% of PIVC insertions required more than 3 attempts after education and practice change implementation. Nurses completed a 32-item written examination before the chemotherapy course; the mean score was 50/100. Upon completion of the chemotherapy course, nurses obtained a mean score of 97/100 on the written examination. Conclusions: Using an organized approach to nursing practice change improved PIVC care in children with cancer.Practice implications: This project provides evidence that nursing practice change strategies can be used in any setting including countries like Malawi with limited resources.

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Section: Standardizing Procedures and Educationmentioning

confidence: 99%

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Mulemba

Bank

Sabantini

et al. 2021

Journal of Pediatric Nursing

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“…reported that the nurses felt positively about the requirement of a biomedical device for assistance in intravenous access though their study did not demonstrate any significant difference in outcome. [ 15 ] It can be contemplated that experienced phlebotomists may not find much use for this device due to their experience as seen in Szmuk et al . [ 7 ] Whether newer workers and trainees may benefit more from this device is yet to be understood.…”

Section: Discussionmentioning

confidence: 99%

Initial experience with use of infrared assistance for intravenous injection of radiopharmaceuticals

et al. 2021

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Radiopharmaceutical injection is challenging as it poses radiation exposure to staff as well as patient. Infrared light-assisted devices have been available since many years and have garnered mixed reviews in the pediatric age group. However, there are no data on outcome of infrared assistance for radiopharmaceutical injection. We compared results of first-attempt intravenous access (in cubital veins) with and without infrared assistance device for injection of radiopharmaceuticals. All adult patients who underwent nuclear scan in the initial weeks of infrared device installation were injected utilizing infrared device assistance. These were compared with those who underwent injection without infrared assistance. Three hundred consecutive patients were studied for success of intravenous injection with and without infrared assistance. Of these, 150 were injected with and 150 without infrared assistance. A success rate of 72%/51.3% was noted with and without infrared assistance, respectively, on the first attempt which was statistically significant. In our initial experience, assistance with infrared device was found to improve the outcome of first-attempt intravenous access for injection of radiopharmaceuticals. This method has potential of improving outcome for radiopharmaceutical injection.

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“…However, data from a recent randomized controlled trial demonstrated that these devices did not improve IV placement success. Moreover, the authors advocated for building nurses' skills and confidence in IV insertion (McNeely, Ream, Thrasher, Dziadkowiec, & Callahan, 2018).…”

Section: Discussionmentioning

confidence: 99%

Effect of Adding a Pediatric Vascular Access Team Component to a Pediatric Peripheral Vascular Access Algorithm

Hartman¹,

Bena²,

Morrison³

et al. 2020

Journal of Pediatric Health Care

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Introduction: Intravenous (IV) placement outcomes in pediatric patients need to be improved. The purpose of the study was to examine if a pediatric peripheral vascular access algorithm with a pediatric vascular access team (PPVAA-VAT) improved IV placement outcomes compared with Pediatric Peripheral Vascular Access Algorithm (PPVAA)-alone use. Methods: This study was a prospective, comparative, two-group design of hospitalized children. Multivariable logistic regression models were used to evaluate differences between cohort outcomes. Results: The PPVAA-alone IV attempts (n = 302) were followed by PPVAA-VAT attempts (n = 294). First attempt and overall IV success were higher in the PPVAA-VAT group after adjusting for confounding patient characteristics (p < .001 and p = .002, respectively). The IV attempts and staff required per encounter decreased in the PPVAA-VAT vs. PPVAA-alone group. Discussion: The PPVAA-VAT group had greater first attempt and overall IV success, and was more likely to have fewer attempts and staff involved in IV access encounters. J Pediatr Health Care.

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Utilization of a biomedical device (VeinViewer^®) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses

Cited by 16 publications

References 15 publications

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Initial experience with use of infrared assistance for intravenous injection of radiopharmaceuticals

Effect of Adding a Pediatric Vascular Access Team Component to a Pediatric Peripheral Vascular Access Algorithm

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Utilization of a biomedical device (VeinViewer®) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses

Cited by 16 publications

References 15 publications

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Improving Peripheral Intravenous Catheter Care for Children with Cancer Receiving Chemotherapy in Malawi

Initial experience with use of infrared assistance for intravenous injection of radiopharmaceuticals

Effect of Adding a Pediatric Vascular Access Team Component to a Pediatric Peripheral Vascular Access Algorithm

Contact Info

Product

Resources

About

Utilization of a biomedical device (VeinViewer^®) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses