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Guideline for IV infiltrations in pediatric patients.

A large Midwestern tertiary care center used a multidisciplinary approach to develop an intravenous infiltration/extravasation guideline for pediatric patients, ages 0-18 years old, using the Iowa MODEL for research utilization. This infiltration clinical practice guideline included a site appearanc...

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Published in:Pediatric Nursing Vol. 25; no. 2; pp. 167 - 178
Main Authors: Montgomery LA, Hanrahan K, Kottman K, Otto A, Barrett T, Hermiston B
Format: algorithm tables/charts Journal Article
Published: Jannetti Publications, Inc. Mar/Apr99
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr99
      vid: 25
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      pid: 4135
      pub: Jannetti Publications, Inc.
      place: Pitman, New Jersey
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        atl: Guideline for IV infiltrations in pediatric patients.
      aug:
        au:
          Montgomery LA
          Hanrahan K
          Kottman K
          Otto A
          Barrett T
          Hermiston B
        affil: Advanced Practice Nurse, Children's and Women's Services, University of Iowa Hospitals and Clinics, Children's Hospital of Iowa, Iowa City, IA
      sug:
        subj:
          Extravasation of Diagnostic and Therapeutic Materials In Infancy and Childhood
          Adrenal Cortex Hormones Administration and Dosage
          Antineoplastic Agents Adverse Effects
          Ointments
          Silver Sulfadiazine Therapeutic Use
          Extravasation of Diagnostic and Therapeutic Materials Therapy
          Infant, Newborn
          Child, Preschool
          Child
          Adolescence
          Midwestern United States
          Antidotes Administration and Dosage
          Antidotes Economics
          Extravasation of Diagnostic and Therapeutic Materials Drug Therapy
          Extravasation of Diagnostic and Therapeutic Materials Classification
          Extravasation of Diagnostic and Therapeutic Materials Nursing
          Hyaluronidase Administration and Dosage
          Phentolamine Adverse Effects
          Heat-Cold Application
          Program Implementation
          Practice Guidelines
          Outcome Assessment
          Professional Compliance
          Pediatric Nursing
          Infant, Newborn: birth-1 month
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: A large Midwestern tertiary care center used a multidisciplinary approach to develop an intravenous infiltration/extravasation guideline for pediatric patients, ages 0-18 years old, using the Iowa MODEL for research utilization. This infiltration clinical practice guideline included a site appearance staging tool, decision algorithm, research-based antidotes, and standard of care. The goal of the guideline was to prevent or minimize adverse occurrences for pediatric patients at risk for intravenous infiltrations. Quality assessment and improvement tracking suggested that there was an increased consistency in use of practice guideline interventions for and reporting of the infiltration event, a reduction in adverse patient outcomes, and potential cost savings.
      pubtype: Academic Journal
      doctype:
        algorithm
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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