Abstract
Implementation and Evaluation of Subcutaneous Rehydration for Difficult Intravenous Access Pediatric Patients
Pain management nursing, Vol.23(2), pp.243-243
04/2022
DOI: 10.1016/j.pmn.2022.02.046
Abstract
AIM OF INVESTIGATION: Healthcare providers are committed ethically and morally to “do no harm” and treat patients using the least minimally invasive interventions possible. It is known that needle pain is one of the most dreaded portions of a hospital experience for children and a common source of pain. The aim of this evidence-based practice project was to implement and evaluate the use of subcutaneous (SQ) rehydration for mild to moderately dehydrated children with difficult intravenous access. Review of evidence indicates potential benefits of SQ rehydration including fewer needle sticks, shorter ER stays, fewer hospital resources (personnel and supplies) and increased satisfaction. Methods: Through an interdisciplinary taskforce (nurses, providers, pharmacists) an evidence-based practice guideline was developed, disseminated for input, and approved through hospital pharmacy and therapeutics (determined to be exempt for human subject review by the Institutional Review Board). Nursing informatics changes were made to facilitate accurate SQ route documentation, an order set was created, guardrails and libraries within the parenteral pump administration system were updated to ensure safety. Weekly reports were developed to track usage. Nursing, provider and pharmacy education was completed through live presentations and written handouts. Results: Implementation occurred in April 2021 and data collection is ongoing. At the time of poster submission, three patients have received this method of rehydration with high levels of patient, parent and provider satisfaction. Data being collected includes number and ease of SQ catheter attempts, duration of treatment, ability to infuse desired fluids, type of fluid infused, number of IV attempts/number of attempts avoided, indications for rehydration, tolerance, complications and satisfaction of patient, family, provider, nurse. Conclusions: Subcutaneous rehydration may assist in decreasing total needle pokes and pain, vessel preservation, increased patient and family satisfaction, and decreased delay in care which patients with difficult access and dehydration may incur.
Details
- Title: Subtitle
- Implementation and Evaluation of Subcutaneous Rehydration for Difficult Intravenous Access Pediatric Patients
- Creators
- Stephanie Horn - Nurse Clinician – Pediatric Vascular Access, University of Iowa Stead Family Children's HospitalDeb Bruene - University of IowaMary Beth Davis - University of IowaBrittany Pechous - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Pain management nursing, Vol.23(2), pp.243-243
- DOI
- 10.1016/j.pmn.2022.02.046
- ISSN
- 1524-9042
- Publisher
- Elsevier Inc
- Number of pages
- 1
- Language
- English
- Date published
- 04/2022
- Academic Unit
- Nursing
- Record Identifier
- 9985222736302771
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