Pediatric Peripheral IV Insertion Success Rates

Rae Ann Lininger


Pediatr Nurs. 2003;29(5) 

In This Article

Abstract and Introduction

Determination of an acceptable practice standard for peripheral intra-venous (PIV) insertion as well as insertion success rates of inpatient medical/surgical registered nurse (RN) staff at Children's Hospital, Omaha, NE, was examined. The prospective study consisted of a nonrandomized sample of 249 total IV placements. The inpatient medical/surgical registered nurse (RN) staff and patients were used as study participants. The data were collected on three separate occasions over 20 months by self-report. The cumulative insertion data revealed 53% successful PIV cannulation on the first attempt, 67% within two attempts, and 91% within four attempts. Additionally, the medical/surgical RN staff successfully placed 85% of the medical/surgical PIVs. As a result of this study, the standard of practice is now defined as no greater than four attempts at insertion by RN staff. Future data should be collected in order to substantiate a defined standard for PIV placement.

Pediatric peripheral intravenous (PIV) access can be a difficult task. Many hospitals look to their more experienced staff nurses or to IV nurse specialists/teams to routinely achieve PIV access. The skill and success rate of the individual achieving access as well as the number of attempts made are variables that influence patient satisfaction. When evaluating various models for PIV access, cost effectiveness as well as patient satisfaction should go hand in hand. Determining the most successful model needs to be individualized to each hospital population. The model should define the practice standard for PIV insertion attempts and the desired success rate.


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