Complications and Outcomes of CVADs in Pediatric Home Care Patients: A 2-Year Study

As health care moves from hospital to home, there is little data on the frequency of complications and outcomes of central venous catheters (CVCs) in pediatric home care patients. It is unknown if family/caregivers, in lieu of nurses managing CVCs in this population, contribute to risk factors for complications. This presentation highlights data that was obtained during a 2-year prospective study of complications associated with CVCs in pediatric home care patients. A total of 222 CVCs were studied and measured for skin and catheter complications, CLABSI occurrences, CVC survival analysis, and need for alteplase treatment. A unique metric captured a comparison of complication rates between the family/caregiver and home care nurses. Data analysis, challenges, and outcomes of the study will be discussed.

Learning Outcomes:

At the conclusion of this session, participants will Identify risk factors which may contribute to central line complications and CLABSIs within the pediatric, medically complex home care patient.

Michelle Curley, RN, CRNI®

Michelle Curley, RN, CRNI®, is DON for infusion and skilled nurse divisions at Pediatric Home Service in Roseville, MN. She has a passion for infection prevention, especially with the pediatric home care population. In 2013, she collaborated with NHIA to create CVAD Guidelines for Pediatric Home Care Patients, later published in the Journal for the Association of Vascular Access. In 2016, her team concluded a 2-year study on central line complications in pediatric home care patients.


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