The Effect of Care Bundle in Preventing the Frequency of Peripheral Intravenous Catheter-related Infiltration and Phlebitis in the Pediatric Emergency Department

This quasi-experimental study evaluates the effectiveness of a care bundle in preventing peripheral intravenous catheter (PIVC)-related infiltration and phlebitis in pediatric emergency department patients. The care bundle includes interventions such as nurse education, hand hygiene, aseptic techniques, and the use of antiseptic solutions (2% chlorhexidine and 70% alcohol) for PIVC insertion and maintenance. The study compares the incidence of infiltration and phlebitis between the intervention and control groups.

Inclusion Criteria: Children admitted to the Pediatric Emergency Department First-time peripheral intravenous catheter (PIVC) insertion Ages between 28 days to 18 years At least 6 hours of observation after catheter insertion Fluid administration in the observation area (e.g., 5% dextrose + 0.45% NaCl + 5/10 cc potassium) Written informed consent obtained from parents/legal guardians Children willing to participate in the study Exclusion Criteria: Children with skin problems (e.g., epidermolysis bullosa) Children allergic to products used in the care bundle Children who have undergone procedures that could cause catheter displacement or infiltration (e.g., lumbar puncture) Children with chronic vascular issues (e.g., vasculitis, hematologic disorders, congenital vascular anomalies) Children transferred to intensive care or another department after PIVC insertion Children with clinical conditions that prevent standard care bundle application (e.g., extreme agitation, inability to immobilize extremities)