Peripheral intravenous canula (PIVC) assessment skills among pediatric nurses: audit-based approach study

Deena @ Clare Thomas and Chong, Li Tsu and Drina Dalie and Rose A Nain and Renie Martha Joanes and CheristyTumbil (2020) Peripheral intravenous canula (PIVC) assessment skills among pediatric nurses: audit-based approach study.

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Abstract

Introduction: Peripheral Intravenous Cannula (PIVC) placement can cause undesirable effects, such as phlebitis. Poor PIVC care can irritate tunica intima layers of the superficial vein. The incidence of phlebitis had become a national nursing indicator, with a standard of less than 0.9%. The standard care of the patient with intravenous in¬cludes a routine PIVC assessment. However, what the assessment should be based on remained unclear. The objec¬tive of this study is to assess nurses’ skill in performing PIVC assessment. Methods: This is a descriptive study using an audit-based approach. It is conducted in a pediatric hospital. Nine pediatric wards were identified via stratified sampling methods. A total of 86 registered nurses consented to participate in this study. A validated research instru¬ments (α = 0.83), PIVC Assessment Skill (PIVC-AS) checklist is used to audit nurses in performing PIVC assessment. PIVC-AS consists of nine audit criteria (AC), AC1: communication skill, AC2 until AC7: PIVC assessment skill, AC8: documentation skill and AC9: PIVC management. Results: Nurses communication skills to patient as in AC1 shows compliance rate of seventy six percent. The compliance rate can be explained that this study was done in the pedi¬atric setting. Participants may skip this communication due to handling with a pediatric patient. More than eighty eight percent nurses comply with AC2 to AC6 which indicated their excellent skill in performing PIVC assessment every shift. However, in the AC7, only sixty seven percent comply to palpate PIVC area for any evidence of venous cord and warmth. Conclusion: This study concludes that communication between nurses and pediatric patients prior to PIVC assessment often missed out by nurses. The palpation techniques also not been carried out as compared to observation technique in pediatrics setting. Palpation technique is crucial to detect ‘warmth to touch’ because it differentiates between the early and medium stage of phlebitis.

Item Type:	Proceedings
Keyword:	Peripheral Intravenous Cannula (PIVC), Phlebitis Assessment, Thrombophlebitis, Nursing audit, nurses skills
Subjects:	R Medicine > R Medicine (General) R Medicine > RJ Pediatrics
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	02 Jun 2021 08:32
Last Modified:	02 Jun 2021 08:32
URI:	https://eprints.ums.edu.my/id/eprint/27059

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