The implementation of a new device for the prevention of phlebitis in paediatric patients

Abstract

A high rate of phlebitis was identified in children in a 26-bed paediatric ward over a period of one year. Vein infusions or peripheral catheters are major causes of phlebitis in paediatric patients, and are a serious clinical challenge. Numerous events of phlebitis in the paediatric ward led to an investigation ways to minimise these events. The primary aim of the trial was to implement a plan or device for the management of peripheral lines in children, in order for nurses to be able to prevent phlebitis by monitoring and evaluating the clinical condition of the insertion site and detecting any problems at an early stage. Different methods and ideas were used and implemented to try to minimise or prevent causes of phlebitis, including a small immobilizing device, strapping of the hand and arm to reduce movement or friction, more frequent checks (a new quality improvement programme), and the insertion of peripheral lines into the scalp, which in itself caused much additional emotional problems for the child, as well as the parents. Eventually, we started using a new device called the Grip-Lok^® Arterial Securement Device, which resulted in the outcome for which we were hoping. The data produced by the trial and the initial methods showed some improvements, but resulted in problematic unintended consequences.