Priority 14 from the Paediatric Hospital Care PSP
| UNCERTAINTY: What is the most effective way to obtain and maintain intravenous (IV) access in children and youth hospitalized on the general paediatric inpatient unit? (JLA PSP Priority 14) | |
|---|---|
| Overall ranking | 14 |
| JLA question ID | 0114/14 |
| Explanatory note | Obtaining IV access is a common procedure and can cause distress in children hospitalized on the general paediatric inpatient unit, as such it is important to understand the most effective ways to perform this procedure |
| Evidence |
Parker, S. I., Benzies, K. M., & Hayden, K. A. (2017). A systematic review: effectiveness of pediatric peripheral intravenous catheterization strategies. Journal of advanced nursing, 73(7), 1570-1582. |
| Health Research Classification System category | Generic health relevance |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | Do patient/families prefer blood work/IV starts to be done in their rooms or in a separate treatment room? ~ Or why they didn't use NICU butterfly iv? ~ Why NICU nurses weren't putting the iv in my 4 week old? ~ What is the most appropriate IV maintenance fluid? ~ Which method to preserve IVs, saline lock or TKVO, is more effective? ~ Does IV TKVO improve PIV patency vs saline lock in children less than 2 years of age? |
| Submitted by | 3 x nurse, 1 x physician, 1 friend/family member |
| PSP information | |
|---|---|
| PSP unique ID | 0114 |
| PSP name | Paediatric Hospital Care (Canada) |
| Total number of uncertainties identified by this PSP. | 75 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 18th and 19th August 2021 |