Practical application of continuous improvement methods address difficult IV access.
A high volume of calls for IV insertion and reliance on PICU nurses to assist with difficult IV access (DIVA), prompted Nemours Children’s Hospital in Orlando, Florida, to gather details about vascular access practices.
After 49 days of tracking, staff discovered 42% of patients were stuck three or more times prior to a call for assistance. Those calls for help pulled PICU nurses from their regular duties approximately 132 times. Research prompted the hospital to change how staff arrives at classifying a patient as DIVA.