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J Infus Nurs. 2010 Jul-Aug;33(4):226-35. doi: 10.1097/NAN.0b013e3181e3a0a8.

Pediatric peripheral intravenous access: does nursing experience and competence really make a difference?

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Department of Pediatrics, Brody School of Medicine at East Carolina University, 3 E 139 Brody, Greenville, NC 27834, USA.


Placement of peripheral pediatric intravenous (IV) catheters in infants and children is difficult, even in skilled hands. This large, 2-institution prospective study used real-time independent observations to describe the effect of nurse experience and competence on the length of time and the number of attempts to establish a successful IV placement in the hospitalized child. Data from a convenience sample of 592 evaluable patients and 1135 venipunctures showed that successful IV placements required an average of 2 venipunctures over 28 minutes. Although nurse experience and self-rated competence were correlated with attaining a successful IV placement, time of day, predicted difficulty of the venipuncture, and cooperativeness of the child appeared to be better predictors of success.

[Indexed for MEDLINE]

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