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

NCT ID: NCT06165003

Last Updated: 2023-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-30

Study Completion Date

2025-12-26

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.

Conditions

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Pediatric

Keywords

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broselow tape pediatric emergency department nurse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled study
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
In the research, control group data will be collected first. After the data of the control group is collected, the data of the experimental group will be collected.

Study Groups

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Experimental group

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

Group Type EXPERIMENTAL

Use of broselow tape

Intervention Type OTHER

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.

Control Group

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

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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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.

Intervention Type OTHER

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
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Izmir Katip Celebi University

OTHER

Sponsor Role lead

Responsible Party

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Aslı Alaca

Principal İnvestigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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ASLI ALACA

Role: CONTACT

Phone: 05062741676

Email: [email protected]

References

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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.

Reference Type BACKGROUND
PMID: 12937099 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 17213259 (View on PubMed)

Other Identifiers

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Aslı alaca

Identifier Type: -

Identifier Source: org_study_id