Performing Pediatric Venipuncture Without Fear

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4th World Congress on Emergency and Critical Care Medicine

the presence or absence of a pulse without prolonged interruption of chest compressions. Two patients had return of spontaneous circula-tion and survived to hospital admission. Both of these patients survived to hospital discharge. Conclusions: It is feasible to use the FEAR exam to correlate with the pulse check during pediatric resuscitation.

Journal of PeriAnesthesia Nursing

Venipuncture Procedure The venipuncture procedure was performed on all children by the same nurse in the same room between 9 a.m. and 12 p.m. The nurse had 10 years of experience in the care of pediatric patients and performing venipuncture. During the venipuncture procedure, the families stayed with their children in all groups. The

P o s i t i o n P a p e r

venipuncture pain management options, comfort hold, and distraction is necessary for pediatric and neonatal patients. 1 1 Background / Problem: Pediatric and neonatal IV insertion requires a high level of skill for a successful procedure. 6 Young patients report needle pain and fear as one of the most stressful times during a


Cleanses venipuncture site with alcohol pad in outward circular motion. B.9 Releases tourniquet and allows swabbed area to air dry while preparing equipment B.10 Retighten tourniquet and ask patient to clench fist again. B.11 Unsheathes safety needle, inspects the tip for defects or barbs. Inspects safety shield for damage. B.12

Complications of venepuncture

2.10. Fear and Phobia Fear and phobia may occur in some patients on seeing the needle. This may cause the patient to move puncturing the artery rather than the vein [11]. The needle should be withdrawn and pressure applied. 2.11. Thrombosis Thrombus is a solid mass derived from blood clot con- stituents in the vessels that is a clot

Procedural Pain Management: A Position Statement with

is variable. In a pediatric emergency room setting, although some patients requiring procedures such as laceration repair or incision and drainage received topical anesthetic and some patients requiring fracture reduction received procedural sedation, few patients undergoing procedures such as venipuncture, intra-

Blood Collection Adverse Reactions and Patient Blood Volumes

i. Anxiety/fear: Patients, especially children under the age of 12 or mentally disabled persons, may show anxiety and/or fear when they present for blood collection. Take the time to explain to the patient exactly what will happen at the patient s level of understanding. Ask care givers to assist with calming the patient.

Clinical Implications of Unmanaged Needle-Insertion Pain and

Health care providers often find performing venous ac-cess procedures in fearful and anxious children to be challenging. A recent survey of 2188 pediatric, emer-gency, and infusion nurses reported that children are physically restrained by another nurse and/or their par-ent/caregiver during IV cannula insertions 74% of the

Pediatric/Neonatal IV Therapy Angela Lee, BSN, CRNI

Pediatric/Neonatal IV Therapy Angela Lee, BSN, CRNI Pediatric and neonatal IV therapy can be both challenging and rewarding. There are significant differences between IV therapy in children and adults so even a nurse experienced with adults may have to relearn techn ique and make other adjustments.

A comparative study to assess the efficacy of Peripheral IV

Venipuncture is a process of puncturing a peripheral vein with a flexible tube, containing a needle to again access to the venous system for administering fluids and medications using aseptic technique.(Navjot Kiran, 2013) School age children are beginning to understand need for painful procedure. They fear body harm and are about health.


1) In accordance with the above description, provide adult, pediatric and Women s health care services to participants as indicated by clinical privileges granted at NEVHC. 2) Provide training and supervision to Registered Nurses, Licensed Vocational Nurses, Medical Assistants, and Clerks as required.


administration without pain, resistance or localised swelling. Secure the cannula with a moisture-permeable transparent dressing (Opsite dressing ) The dressing should allow viewing of the entry site while firmly stabilising the cannula to prevent mechanical phlebitis or cannula dislodgement.


process of venipuncture is typically shorter in duration and may require fewer pain management interventions to be employed (Taylor et al., 2011). Given the prevalence of venipuncture in hospital, it is an ideal procedure to study to develop an awareness of PPM interventions being used by hospital-based nurses working in pediatric care.

The J Tip Needleless System versus Standard of Care for

Venipuncture procedures are fear inducing and painful for pediatric patients and are recognized as the leading cause of procedure-related pain in hospital settings and pediatric emergency rooms. Objective: The comparison of procedural fear and pain related to venipuncture after the


to perform a MRI examination without sedation (Bisset & Ball, 1991). Providing the sedation is the responsibility of the anesthesia provider. Gaining intravenous access by venipuncture is the first priority of the anesthesia provider. The anxiety and fear of the needle perceived by the pediatric patient may result

ORIGINAL ARTICLE Nitrous oxide inhalation is a safe and

without the NO procedure. Pain was evaluated by means of a VAS ranging from 1 to 10,19, 5 minutes after performing the procedure or 5 minutes after accomplishing treatment with NO. The children s and parents evaluation of the procedure were evaluated on a five point global rating scale: 1, poor; 2, fair; 3,

Parental Holding and Positioning to Decrease IV Distress in

pain, fear, and distress in children of ages 4 11 years who were undergoing venipuncture (N = 43). Children in the experimental group (n = 20) were positioned on the parent's lap, and the parents had been trained in providing distraction. Children PARENTAL HOLDING AND POSITIONING TO DECREASE IV DISTRESS 441

Serge Sultan, Université de Montréal How to cite this article

44 Previous studies in pediatric oncology have shown that HCTech not only decrease procedure 4 45 related pain 5,20-29 and distress 5,20,23-27 5,20,21,23but also reduce anxiety -27,29,30 and fear 22

Effects of Parental Presence during Children's Venipuncture

Parental Presence in Venipuncture, Wolfram, Turner 59 I METHODS Study Design A prospective, randomized clinical study was per- formed to compare a visual analog scale (VAS) measure of distress during VP with and without parental pres- ence. The VAS scores for pediatric patients, their par- ent(s), and the HPs were compared with and without


By explaining this procedure, you turn the unknown into the known and the fear melts away. It only takes one minute or so, but when the child knows what to expect, the venipuncture has a much greater chance of proceeding without incident. Of course it remains essential to immobilize the arm during the puncture to prevent unanticipated reactions.

RCH Procedure Procedural Sedation for Ward and Ambulatory Areas

Infants, children and adolescents may experience marked distress during procedures. Minimizing fear and anxiety in relation to any procedure (including a painless procedure) is the primary goal of procedural pain management. Reducing distress may also decrease future sensitization and avoidance behaviours to procedures.

Capillary Puncture Equipment and Procedures

Obtaining blood from infants and children by venipuncture is diffi cult and may damage veins and surrounding tissues. Puncturing deep veins can result in hemorrhage, venous thrombosis, infection, and gangrene. An infant or child can be injured by the restraining method used while performing a venipuncture.

Pediatric Phlebotomy with Pain Management

groups within the pediatric population Recall products and techniques used for pain management. Incorporate the skills learned into your daily work to provide the best care possible. ©2017 MFMER slide-4 Children s Fears: Top 10 Children fear many things, such as: Darkness Strangers Being alone Hospitals (blood)

Therapeutic Play Use in Children under the Venipucture: A

such as venipuncture, reducing anxiety, fear and pain in hospitalized children undergoing painful procedures. Thus, the aim of this study is to evaluate the effectiveness of ITP to the management of pain when performing peripheral venipuncture or handling of the venous access in preschool and schoolchildren. The research is analytical,

Poster Abstracts from the 2017 Conference of the Canadian

S I N C E D E P U I S 1964 Poster Abstracts from the 2017 Conference of the Canadian Society of Respiratory Therapists We are pleased to present abstracts from the posters that were displayed at the CSRT Annual Education Conference in Halifax, Nova Scotia, on 11 13 May 2017.

Procedural Pediatric Dermatology

the literature to provide guidance for performing dermatologic procedures in children. Additionally, the surgical approach to a few specific types of birthmarks is addressed. GENERAL APPROACH TO PEDIATRIC PATIENTS Many factors influence pain, including age, fear and anxiety, cognitive development, and past ex-periences.