How to Improve First-Time Insertion Success in Pediatrics [virtual]

Peripheral intravenous catheter (PIVC) insertion can be difficult, traumatic, and time-consuming in pediatric patients. More than 50% of first-insertion attempts fail and some patients require upwards of 9 attempts. Children who are at the highest risk are those with difficult intravenous access (DIVA), due to physiology, pathology, or damage from previous therapies or catheterization. Early identification of children with DIVA and escalation to an appropriately skilled clinician is vital to improve patient outcomes and insertion success; however, at present, there is a lack of standardized DIVA identification and escalation tools for use in pediatrics. In this session, we will discuss a mixed-methods approach used to develop a DIVA identification and escalation pathway (DIVA Key), as well as tested the utility of ultrasound to improve first-time insertion success.

Learning Objectives: At the conclusion of this session, participants will be able to: 

  1. Describe risk factors for PIVC insertion in children.
  2. Identify current tools, clinical resources, and technology available to clinicians and current challenges associated with the sustainable implementation of these tools.
  3. Describe end-user requirements (including consumers) for difficult intravenous access identification and escalation tools.
  4. Discuss the results of a clinical trial, stratified by DIVA risk comparing ultrasound guided PIVC insertion to traditional palpation and visualization in a pediatric tertiary hospital.
  5.  Describe potential facilitators and barriers of sustainable implementation of DIVA identification and escalation processes.

Contact Hours: 1
CRNI® RUs: 2

Tricia Kleidon, MNSc, RN, BNSc

Tricia Kleidon is a nurse practitioner in pediatric vascular assessment and management at Queensland Children’s Hospital and a research fellow at the University of Queensland. She is part of a dynamic clinical and research team that prides itself on achieving positive outcomes for patients and minimizing vascular-access related complications.  She is currently enrolled in a PhD program of research entitled “Techniques and Technologies to Improve PIVC First-Time Insertion Success and Reduce Complications and Failure.”


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Live event: 04/03/2023 at 1:30 PM (EDT) You must register to access.
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