Vascular Access Clinical Pathway — Emergency Department
Goals
- Decrease the number of total IV access attempts
- Implement a difficult IV algorithm utilizing DIVA Scoring Tool
- Integrate US guided IV placement into ED practice
- Standardize use of pain control therapies for non-emergency IV placement
- Improve time to access in patients with difficult IV access
Metrics
- Total number of IV access attempts
- No non-urgent patient with > 4 IV attempts
- Pain controlled offered in 80% of patients
- Decrease time to IV pain medications in sickle cell patients presenting with pain crisis
- Verification of pathway use by chart review for patients with > 2 IV attempts