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

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

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.

Study Overview

• Status: Not yet recruiting
• Conditions: Pediatric
• Intervention / Treatment: Other: Use of broselow tape

Detailed 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.

• Study Type: Interventional
• Enrollment (Estimated): 246
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: ASLI ALACA; Phone Number: 05062741676; Email: alaca_asli_1992@hotmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: Yes

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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	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.
No Intervention: 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

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Izmir Katip Celebi University

Publications and helpful links

General Publications

• 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.
• 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.

Study record dates

Study Major Dates

• Study Start (Estimated): November 30, 2023
• Primary Completion (Estimated): June 26, 2024
• Study Completion (Estimated): December 26, 2025

Study Registration Dates

• First Submitted: November 25, 2023
• First Submitted That Met QC Criteria: December 8, 2023
• First Posted (Estimated): December 11, 2023

Study Record Updates

• Last Update Posted (Estimated): December 11, 2023
• Last Update Submitted That Met QC Criteria: December 8, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: nurse; pediatric emergency department; broselow tape
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: Aslı alaca

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No