Improving Confidence and Competence in Treating Pediatric Peripheral Intravenous (PIV) Extravasation
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DOI
https://doi.org/10.63853/LKAX6625
Description
Literature Review: Targeted nursing education has demonstrated it may lead to improved nursing care and patient safety. Nurses who received high-fidelity simulation and targeted traditional education on extravasation treatment had higher competency scores than those who did not received this education. Specific nursing education classes have demonstrated statistically significant improvement on nurses' knowledge, practice and minimized patients' complications of extravasations.
PICO: In hospitalized pediatric patients can additional education and training by the Vascular Access Team (VAT) for Peripheral IV Infiltration and Extravasation (PIVIE) on extravasation treatment increase knowledge, confidence, and competence in providing the appropriate treatment and increase the percentage of extravasations treated per guidelines?
Evaluation: Staff reported not knowing how to treat the extravasations, causing treatment delays, or extravasations not being treated per guidelines. Staff and nursing leadership determined the need for additional training on Extravasation Treatment Informal education began in May 2023 to prepare nurses to treat patients when the VAT team wasn’t available. Classes were modified by VAT in June 2024 to include didactic lecture and simulation training for PIVIEs. Pre / post surveys were given to attendees of the revised class. Results: PIVIEs in 2023 showed 3 of 5 (60%) were not treated per guidelines. In 2024 and from January to April 2025 100% of PIVIEs received treatment. Pre-class surveys showed 1 of 33 respondents (0.03%) felt very prepared in overall treatment of PIVIE. After class 25 of 36 respondents (69%) felt very prepared to treat extravasation. Early treatment of extravasation minimized further complications.
Publication Date
11-24-2025
Disciplines
Pediatric Nursing
Recommended Citation
Gosdin, Ann; Murillo, Hector; Marchand, Taffi; and Warren, Brook, "Improving Confidence and Competence in Treating Pediatric Peripheral Intravenous (PIV) Extravasation" (2025). 2025. 29.
https://scholarlycollection.childrens.com/nursing-anf2025/29
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This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
