On the front lines: lessons learned in implementing multidisciplinary peripheral venous access pain-management programs in pediatric hospitals.

Abstract:

:Venipuncture and intravenous cannulation are among the most common and widespread medical procedures performed on children today. Therefore, effective treatment of venous access pain can benefit from an integrated systems approach that enlists multiple players in the health care system. By using case studies that analyze this issue from the perspective of the nurse, the physician, the pharmacist, and the child life specialist, this article illustrates how multidisciplinary programs designed to manage needle pain have been developed successfully in several institutions. Common themes that arise from these case studies include the importance of a multidisciplinary evidence-based approach to advocate change; a system-wide protocol for the administration of local anesthetics; convenient access to topical local anesthetics; department and hospital-wide support for educational efforts, including training in nonpharmacologic techniques used by child life specialists; and ongoing quantification of the overall success of any program. Implementation of these strategies can result in significant improvements in the pediatric venous access experience.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Leahy S,Kennedy RM,Hesselgrave J,Gurwitch K,Barkey M,Millar TF

doi

10.1542/peds.2008-1055i

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

S161-70

eissn

0031-4005

issn

1098-4275

pii

122/Supplement_3/S161

journal_volume

122 Suppl 3

pub_type

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