Improving Outcomes for Pediatric Patients       with Peripheral IV Catheters     Texas Children’s Hospital, Houston, TX   ...
Improving Outcomes for Pediatric Patientswith Peripheral IV CathetersGoal: Reduction in PIV Restart Rate   – Issue was ide...
The InterventionThe VAT proposed a new, consistent method ofsecurement for PIV starts.   – Developed and implemented a sta...
The ResultsAdded the new IV Catheter system into our product portfolio – Improved patient comfort/satisfaction with new cl...
Engaging OthersThe VAT was instrumental in driving the process   – desire to decrease the number of IV sticks for patients...
Greatest Learnings / Largest ChallengesLearnings   – Understanding and complying with hospital protocols for     product/p...
Best Advice• Engage supportive leadership• Be open to product and process changes to drive patient  care improvements• Tho...
Sustaining Change• Continue to monitor impact.• Provide annual reports to key stakeholders.• Ensure staff competency is va...
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Improving Outcomes for Pediatric Patients with Peripheral IV Catheters

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Improving Outcomes for Pediatric Patients with Peripheral IV Catheters

  1. 1. Improving Outcomes for Pediatric Patients with Peripheral IV Catheters Texas Children’s Hospital, Houston, TX Theresa Reed, RN, BSN, VA-BC Manager, Vascular Access Team (VAT) VAT performs the majority of IV starts in the facility 350 – 450/month 90% - 100% Ultrasound Use Intervention Timeframe: March 2010 - present
  2. 2. Improving Outcomes for Pediatric Patientswith Peripheral IV CathetersGoal: Reduction in PIV Restart Rate – Issue was identified through increased calls to the Vascular Access Team (VAT) for PIV restarts – Increased time spent by team members starting peripheral IVs due to dislodgement – Desire to improve p p patient/caregiver satisfaction g
  3. 3. The InterventionThe VAT proposed a new, consistent method ofsecurement for PIV starts. – Developed and implemented a standardized IV start kit • specific sterile tape designed for improved securement • included all items necessary for an IV start – Evaluated different IV catheters and securement devices suitable for pediatrics – Evaluated a new integrated closed IV catheter system which incorporates a stabilization platform and an extension set – Products were reviewed by the Products Committee and approved for evaluation by the VAT
  4. 4. The ResultsAdded the new IV Catheter system into our product portfolio – Improved patient comfort/satisfaction with new closed IV catheter system • Improved securement with integrated stabilization platform • Less irritation to the skin • Less manipulation of the IV catheter due to integrated extension set • Eliminated unnecessary blood loss during catheter insertion – Reduced blood exposure for staff – Integrated extension set has low priming volume acceptable for pediatrics – Improved first stick success – Reduced PIV restarts due to catheter dislodgementImplemented the use of the new IV Start Kit – Reduction in time for restart – Improved supplies in the IV kit – Easy to Use
  5. 5. Engaging OthersThe VAT was instrumental in driving the process – desire to decrease the number of IV sticks for patients – decrease the use of central venous access in patients with short term IV access needs – iimprove patient satisfaction ti t ti f tiMaterials Management – Validation of the new closed IV catheter system provided data to justify increased cost would be overcome by improved first stick success; requiring less product over time time.
  6. 6. Greatest Learnings / Largest ChallengesLearnings – Understanding and complying with hospital protocols for product/process changes – Engaging and listening to key stakeholders in the process • Key to successful change – Staying committed and open to patient care improvement ideasChallenges – Convincing the products committee to allow validation of a more expensive product – Good data collection is key to supporting change – Expanding the use of the new IV catheter by staff outside the VAT
  7. 7. Best Advice• Engage supportive leadership• Be open to product and process changes to drive patient care improvements• Thoroughly investigate product options• Listen to the people involved in the change process• Be open to suggestions for change as necessary
  8. 8. Sustaining Change• Continue to monitor impact.• Provide annual reports to key stakeholders.• Ensure staff competency is validated.

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