Improving Pediatric IV Catheter Care with the I-DECIDED Tool

Peripheral intravenous catheters (PIVCs) are frequently used in pediatric care, but improper care can lead to complications such as infection or catheter failure. To address these issues, the I-DECIDED tool was developed to enhance PIVC assessment and decision-making. This tool empowers healthcare professionals to deliver better care by systematically evaluating the status of PIVCs and taking necessary actions.

Study Overview
A quasi-experimental, interrupted time-series study was conducted at a public teaching hospital in Brazil. The study aimed to assess whether implementing the I-DECIDED tool improved the management of PIVCs in pediatric patients. Over six time points (three pre-intervention and three post-intervention), data was collected from 65 children across two phases.

Key Findings
Reduction in Idle Catheters: The study observed a significant decrease in the number of idle catheters following the implementation of the I-DECIDED tool.
Improvement in Dressing and Complication Rates: Post-intervention data showed improved dressing standards and fewer catheter-related complications.
Increased Awareness: Parents and families reported greater involvement in care, particularly in hand hygiene and catheter disinfection, after the tool was implemented.
Enhanced Documentation: Nurses and nursing assistants/technicians showed improvements in documenting care decisions and catheter management.

Conclusion
The implementation of the I-DECIDED tool significantly improved the care and management of PIVCs in pediatric patients. It not only reduced complications but also enhanced patient and family involvement, leading to better overall outcomes. This tool has the potential to raise the standard of care for pediatric patients by promoting evidence-based practices in vascular access management.

Implications for Pediatric Care
The I-DECIDED tool offers a structured approach to improving PIVC care, benefiting both healthcare providers and patients. By increasing patient safety and reducing complications, this tool could transform clinical practices in pediatric units worldwide.

Authors: Thiago Lopes Silva, Gillian Ray-Barruel, Amanda Ullman, Mari Takashima, Denise Miyuki Kusahara, Sabrina de Souza, Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Patrícia Kuerten Rocha.

Read More: https://onlinelibrary.wiley.com/doi/10.1111/jan.16458