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

Pediatric Clinical Trial

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06165003
• Other study ID #: Asli alaca
• Status: Not yet recruiting
• Phase: N/A
• Start date: November 30, 2023
• Est. completion date: December 26, 2025

Study information

• Verified date: December 2023
• Source: Izmir Katip Celebi University
• Contact: ASLI ALACA
• Phone: 05062741676
• Email: alaca_asli_1992[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 246
• Est. completion date: December 26, 2025
• Est. primary completion date: June 26, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A to 18 Years

Eligibility

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

Related Conditions & MeSH terms

• Emergencies
• Pediatric

Intervention

Other:
• Use of broselow tape
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.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Izmir Katip Celebi University

References & Publications (2)

Argall JA, Wright N, Mackway-Jones K, Jackson R. A comparison of two commonly used methods of weight estimation. Arch Dis Child. 2003 Sep;88(9):789-90. doi: 10.1136/adc.88.9.789. No abstract available. — View Citation

Luscombe M, Owens B. Weight estimation in resuscitation: is the current formula still valid? Arch Dis Child. 2007 May;92(5):412-5. doi: 10.1136/adc.2006.107284. Epub 2007 Jan 9. Erratum In: Arch Dis Child. 2007 Jul;92(7):657. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Selection by broselow Band	Success of Broselow band selection	2 year
Secondary	Nurses' success rate in catheter applications	Number of attempts	2 year
Secondary	Nurses' success rate in catheter applications	length of stay of the catheters	2 year
Secondary	Nurses' success rate in catheter applications	nurses' completion of the catheter insertion process	2 year