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Volume 5
Neonatal and Pediatric Medicine
Faneotrics 2019
March 21-22, 2019
Page 34
Notes:
March 21-22, 2019 Dubai, UAE
28
th
World Neonatal, Pediatric and Family
Medicine Conference
Nurse-led central line initiative: Protecting patients from harm
Rui Wang
Children’s Hospital of Philadelphia, USA
S
taff nurses sought to shorten time to central line access for a vulnerable population. This harm prevention initiative included
reducing injury from peripheral intravenous lines. Critically ill infants often require long term parenteral medications and
nutrition. More consistent delivery, along with lowered risk of injury from PIVs are benefits of Peripherally Inserted Central
Catheter (PICC) access for neonates. Many factors are related to timely line placement such as location of procedure; NIICU
bedside versus interventional radiology, expertise of staff for insertion and patient safety. We sought to increase bedside PICC
access as best practice. Ten experienced registered nurses in our NIICU were selected. The group completed required pediatric
PICC qualification training to function independently. The team's objectives included shortening time to PICC placement,
reducing patient harm by decreasing PIV extravasation and infiltrates and decreasing Central Line Associated Blood Stream
Infections (CLABSIs), thereby contributing to decrease costs and shortened length of stay. Team leaders developed resources to
facilitate communication and guide practice using a web-based community to improve efficiency and provide data collection
tools to track outcomes; also creating an algorithm for PICC placement, annual competency for PICC team and a bedside PICC
attempt job aid. Positive outcomes included: Decreased PICC waiting time, increased number of PICC lines placed at bedside
versus patient transport to IR, limiting time delay and potential infant safety risks and significantly decreased in grade 3 and
4 PIV infiltrations. Based on positive outcomes of this nurse-led project, PICC team provides 24*7 care for NIICU patients.
Biography
Rui Wang is an experienced RN, worked in neonatal nursing field for 24 years. She has multiple certifications related to neonatal nursing, PICC RN, RNC-NIC,
ECMO, SDU (special delivery unit RN), BRN (breastfeeding resource RN). She serves as a Clinical Resource Nurse for bedside nurses, clinicians and families.
She has successfully placed close to 400 PICCs for neonatal patients; the smallest patient weighed 450 grams. She was named as one of NICU PICC RN team
co-leaders since May 2016. She has created online community for PICC team in 2016, which serves as an efficient communication and data collection tool.
wangr@chop.eduRui Wang, Neonat Pediatr Med 2019, Volume 5
DOI: 10.4172/2572-4983-C1-011