Frey A M
Children's Hospital of Philadelphia, USA.
J Intraven Nurs. 1998 May-Jun;21(3):160-5.
Although many publications have demonstrated the cost-effectiveness of using i.v. nurse specialists with adult patients, very few have explored this topic in the pediatric population. Many agencies choose to use staff RNs and physicians, with minimal training and experience, to place i.v.s in both pediatric and adult patients. This article demonstrates i.v. insertion success rates for various healthcare providers: staff RNs, physicians, and an i.v. nurse specialist in an urban pediatric hospital. The number of unsuccessful i.v. attempts for each group is calculated and further applied to costs of labor and equipment. From the data presented in this article, it may be concluded that the use of one or more i.v. specialist nurses for placement of peripheral i.v.s in children is more cost effective than using staff RNs or physicians for provision of this service. These data were collected while the author was the i.v. nurse clinician at St. Christopher's Hospital for Children in Philadelphia.
尽管许多出版物都证明了在成年患者中使用静脉输液专科护士的成本效益，但很少有研究探讨这一话题在儿科患者中的情况。许多机构选择使用经过最少培训且经验有限的注册护士（RN）和医生，为儿科和成年患者进行静脉穿刺。本文展示了城市儿科医院中不同医疗服务提供者（注册护士、医生和静脉输液专科护士）的静脉穿刺成功率。计算了每组静脉穿刺失败的次数，并进一步应用于劳动力和设备成本。从本文呈现的数据可以得出结论，在儿童中使用一名或多名静脉输液专科护士进行外周静脉穿刺比使用注册护士或医生提供这项服务更具成本效益。这些数据是作者在费城圣克里斯托弗儿童医院担任静脉输液临床护士时收集的。
