Peripheral intravenous infiltrations and extravasations (PIVIEs) remain a significant source of preventable harm, patient distress, and healthcare cost, especially in pediatric settings, where families often cite intravenous (IV) starts and failures as the most stressful part of a hospitalization. With over 80% of hospitalized patients requiring a peripheral intravenous catheter (PIVC), proactive prevention strategies are essential. This session introduces and discusses the P.O.K.E. initiative (Previous PIVIE, Oral transition, Keep it, Educate PIV plan to family and team), a structured communication tool designed to reduce PIVIE rates through interdisciplinary collaboration and family engagement.  

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

• Understand the complications associated with PIVIE and their impact on the child, the family, and the health care system 
• Identify evidence-based tools for the prevention of PIVIE 
• Evaluate current PIVIE prevention strategies implemented to determine alignment with evidence-based best practices and identify opportunities for improvement 
• Recognize key risk factors that contribute to its occurrence in pediatric patients 

Contact Hours: 1

CRNI^® RUs: 2