Examination of Nurses' Use of Broselow Tape in Non-resuscitation Pediatric Emergency Department Practices

Study Overview
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Brief Summary
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The patient's body weight is often taken as a basis when calculating drug doses and determining equipment sizes for pediatric patients presenting to the emergency department. The methods used to determine body weight are the family's estimated weight, formulas for estimating weight according to age, or the Broselow band used to estimate weight according to height. Weight estimates that are incomplete compared to the child's actual body weight lead to medication errors, wrong material selection and prolongation of the procedure, resulting in increased mortality and morbidity.

Detailed Description
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This study will be carried out to create an evidence-based practice in the selection of catheters to be used during peripheral intravenous catheter insertion, urinary catheter insertion, nasogastric/orogastric catheter insertion and aspiration in children using the Broselow band in non-resuscitation applications coming to the Pediatric Emergency Department. By using the Boselow band in non-resuscitation pediatric emergency department applications, reducing the number of attempts and errors by ensuring the correct equipment selection in the procedures applied to patients, and increasing the success of the procedure; This will be done to ensure that the decisions taken by nurses using their experience and previous knowledge are more systematic.

Official Title
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Examining the Effect of Nurses' Use of Broselow Tape in Non-resuscitation Pediatric Emergency Department Practices on Patient Safety

Conditions
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Pediatric

Intervention / Treatment
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* Other: Use of broselow tape


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children weighing 3 to 36 kg and 47 to 143 cm tall Children aged 0-18 Patients coming to the emergency department for non-resuscitation procedures Patients and their families who volunteer to participate in the research Patients who will have a peripheral intravenous catheter inserted Patients who will have a urinary catheter inserted Patients who will have a nasogastric/orogastric catheter inserted Patients who will undergo aspiration procedure Exclusion Criteria: Children weighing less than 3 kg and taller than 143 cm Children with anomaly contractures that may prevent measurement during measurement with the Broselow tape Patients with central venous catheter Patients with peripheral intravenous catheters outside the pediatric emergency department Patients who have a urinary catheter inserted outside the pediatric emergency department Patients who have a nasogastric/orogastric catheter inserted outside the pediatric emergency department

Ages Eligible for Study
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Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Peripheral Intravenous Catheter Insertion Procedure - Broselow Band Selection - Experimental Group Urinary Catheter Insertion Procedure - Broselow Tape Selection - Experimental Group Aspiration process - Broselow Band Selection - Experimental group Nasogastric/Orogastric Catheter Insertion Procedure - Broselow Band Selection - Experimental Group | Other: Use of broselow tape<br>* In the research, the nurse is the decision maker in the selection of the catheters to be used in the procedures (peripheral intravenous catheter insertion, urinary catheter insertion, aspiration procedure, nasogastric/orogastric catheter insertion) for the patients in the control group. In these procedures, the nurse's choices will be evaluated as control group data as routine clinical practice. After the control group data is collected, Broselow tape will be used in the selection of catheters to be used in the procedures to be performed on the patients in the experimental group (peripheral intravenous catheter insertion, urinary catheter insertion, aspiration procedure, nasogastric/orogastric catheter insertion). Our research will be conducted to examine the effect of nurses' use of Broselow tape in non-resuscitation applications and to minimize errors and application disruptions in procedures involving nurses.<br>|
| No Intervention: Control Group<br>Peripheral Intravenous Catheter Insertion Procedure - Routine Application - Control Group Urinary Catheter Insertion Procedure - Routine Application - Control Group Aspiration process - Routine Application - Control Group Nasogastric/Orogastric Catheter Insertion Procedure - Routine Practice - Control Group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Selection by broselow Band | Success of Broselow band selection | 2 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nurses' success rate in catheter applications | Number of attempts | 2 year | 
| Nurses' success rate in catheter applications | length of stay of the catheters | 2 year | 
| Nurses' success rate in catheter applications | nurses' completion of the catheter insertion process | 2 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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broselow tape, pediatric emergency department, nurse