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Assessing the Implementation of Buzzy® on Pediatric Units to Decrease Procedural Pain
Abstract
Problem: At a Mid-Atlantic community hospital, pediatric patients were not offered comfort techniques during needle related procedures (NRPs). One third of needle phobias are due to painful or traumatic experiences, particularly during procedures that patients perceive as lacking comfort interventions. Pain during NRPs is stressful, inadequately assessed and addressed, and results in increased pain during subsequent procedures. Purpose: This QI project implemented the use of Buzzy®, a pain distraction device, during NRPs, at a community hospital with dedicated Pediatric Emergency Pod (PEP), and Pediatric inpatient unit (PIP). Methods: Approximately 650 children between the ages of 3-17 years, who presented for acute care and needed NRPs, were included in the implementation of Buzzy®. An education program, provided to 32 members of the Pediatric Bedside Team (PBT), was completed over a 1-week timespan. Following implementation, weekly communications, and ongoing support by the project lead (PL) and project champions (PC) facilitated use. Eligible patients were identified by PBT at time of NRP. Secure data review determined the percentage of patients offered Buzzy® during NRPs. Results: Following implementation, 93.3% of the PBT completed Buzzy® education. An average of 16.2% of eligible patients were offered Buzzy®, with 88.9% of patients choosing to use it. Patients who used Buzzy® reported an average pain score of 2.6, while those who did not reported an average of 4.2. Conclusions: Results suggest successful implementation of Buzzy®, which decreased pediatric pain. Evidence showed barriers including high census or acuity, non-PBT completing pediatric NRPs, and troubleshooting Buzzy®. Staff appeared to have high adherence initially, but sustained lack of data entry limited implementation analysis. Continued utilization is needed to further assess implementation and long-term sustainability of Buzzy®.Identifier to cite or link to this item
http://hdl.handle.net/10713/22739Collections
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