Lininger Rae Ann
Children's Hospital, Omaha, NE, USA.
Pediatr Nurs. 2003 Sep-Oct;29(5):351-4.
Determination of an acceptable practice standard for peripheral intravenous (PIV) insertion as well as insertion success rates of inpatient medical/surgical registered nurse (RN) staff at Children's Hospital, Omaha, NE, was examined. The prospective study consisted of a non-randomized sample of 249 total i.v. placements. The inpatient medical/surgical registered nurse (RN) staff and patients were used as study participants. The data were collected on three separate occasions over 20 months by self-report. The cumulative insertion data revealed 53% successful PIV cannulation on the first attempt, 67% within two attempts, and 91% within four attempts. Additionally, the medical/surgical RN staff successfully placed 85% of the medical/surgical PIVs. As a result of this study, the standard of practice is now defined as no greater than four attempts at insertion by RN staff. Future data should be collected in order to substantiate a defined standard for PIV placement.
研究了确定外周静脉（PIV）穿刺的可接受操作标准以及内布拉斯加州奥马哈市儿童医院住院医疗/外科注册护士（RN）人员的穿刺成功率。这项前瞻性研究包括249次静脉置管的非随机样本。住院医疗/外科注册护士（RN）人员和患者作为研究参与者。在20个月内分三次通过自我报告收集数据。累积穿刺数据显示，首次尝试PIV置管成功的比例为53%，两次尝试内成功的比例为67%，四次尝试内成功的比例为91%。此外，医疗/外科RN人员成功完成了85%的医疗/外科PIV置管。作为这项研究的结果，现在将操作标准定义为RN人员穿刺不超过四次。未来应收集数据以证实PIV置管的明确标准。
