A Study on the Activities of IV Team In the Children's Hospital

Hwang, Jeong Hae; Hwang, Jee In; Kim, Mi Ran; Shin, Hee Young; Ahn, Hyo Seop

Journal of Korean Society Quality Assurance Health Care 1999;6(Suppl DB Error: no such field): 92.
Published online May 30, 1999.

소아병원의 정맥주사팀 활동에 대한 조사연구

황정해¹, 황지인¹, 김미란², 신희영³, 안효섭³

¹서울대학교병원 QA전담반
²서울대학교병원 정맥주사팀
³서울대학교 의과대학 소아과학교실

A Study on the Activities of IV Team In the Children's Hospital

Jeong Hae Hwang¹, Jee In Hwang¹, Mi Ran Kim², Hee Young Shin³, Hyo Seop Ahn³

¹QA team, Seoul National University Hospital
²IV team, Seoul National University Hospital
³Department of Pediatrics, Seoul National University College of Medicine

Abstract

Background
In many university hospitals, intravenous(IV) therapies and samplings had been one of the most important works of doctors who are in training. However, recently as patient oriented care is becoming more weighted for qualified health service IV therapies should be the works of specialized personnels. This study was conducted to investigate the medical staff's perception on IV team, to survey patient or parent's expectation on IV team, and to assess the frequency of IV therapy related complications and the characteristics of phlebitis among the hospitalized children.
Methods
We collected data prospectively before the start of IV team from February 22 to February 29. 1999 and from September 27 to October 3, 1999, 6 months after beginning of IV team at Seoul National University Children's Hospital. IV team started their activities from March 1, 1999. General pediatric wards were not included for the IV and sampling team and oncology ward and surgical units were all included for the IV and sampling team's work. IV specialist was the well trained nurse who had been working in the field of pediatrics especially for the oncology patients. The subjects of this study were medical staffs who were working in children's hospital as doctors in training and patients who were treated with IV therapies in children's hospital during the same period.
Results
Doctors responded that IV team need to be organized for IV care and expected IV team could reduce their work load. Parents of patients also responded IV team was very improtant to perform high quality IV care. They had willingness to pay extra charge for IV team care. In the wards where IV team did not work, they used various kinds and sizes of catheters, but in the wards where IV team worked, they needed just one or two types of catheters. As the exact role of IV team is not still established, job description is needed between the IV team and medical doctors. In the aspects of medical costs. it could save the materials for the IV also.
Conclusion
This study showed that IV team could increase patient's satisfaction with decrease of medical doctors work load and concomitantly could save the costs of IV materials. And for the expansion of the IV team, job description is needed and for the total care of the children IV specialist and sampling team should expand their roles.

Key words Intravenous therapy;Hospitalized children;IV specialist;Quality;Satisfaction;