Priority 14 from the Paediatric Hospital Care PSP

UNCERTAINTY: What is the most effective way to obtain and maintain intravenous (IV) access in children and youth hospitalized on the general paediatric inpatient unit? (JLA PSP Priority 14)
Overall ranking 14
JLA question ID 0114/14
Explanatory note Obtaining IV access is a common procedure and can cause distress in children hospitalized on the general paediatric inpatient unit, as such it is important to understand the most effective ways to perform this procedure 

Parker, S. I., Benzies, K. M., & Hayden, K. A. (2017). A systematic review: effectiveness of pediatric peripheral intravenous catheterization strategies. Journal of advanced nursing, 73(7), 1570-1582.
Qin, K. R., Ensor, N., Barnes, R., Englin, A., Nataraja, R. M., & Pacilli, M. (2020). Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature. The Journal of Vascular Access, 1129729820927272.

Health Research Classification System category Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Do patient/families prefer blood work/IV starts to be done in their rooms or in a separate treatment room? ~ Or why they didn't use NICU butterfly iv? ~ Why NICU nurses weren't putting the iv in my 4 week old? ~ What is the most appropriate IV maintenance fluid? ~ Which method to preserve IVs, saline lock or TKVO, is more effective? ~ Does IV TKVO improve PIV patency vs saline lock in children less than 2 years of age? 
Submitted by 3 x nurse, 1 x physician, 1 friend/family member 
PSP information
PSP unique ID 0114
PSP name  Paediatric Hospital Care (Canada)
Total number of uncertainties identified by this PSP. 75  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 18th and 19th August 2021