How to improve the success rate of vein puncture in children.docVIP

 PAGE \* MERGEFORMAT 7 How to improve the success rate of vein puncture in children [Keywords:] children; vein puncture; skills With the infusion requirements of medical standards and continuous improvement of the technical requirements of venipuncture are also rising, many children do for parents to ask nurses sharply, so each of our pediatric infusion room nurses must have the solid vein puncture technique to improve the puncture success rate and reduce pain in children and improve the quality of care. puncture success with children’s fat, thin, dehydrated circulation, edema, and anatomic variations and other related factors, and the other with the operating skills, psychological factors and are closely related to Scalp Acupuncture . Therefore, I will be a number of skills and experience of venipuncture summarized as follows. 1 Materials and Methods 1.1 General information on 500 patients in this group of children, female 290 cases, male 210 cases, aged 1 month to 7 years, of which 76 cases of obesity, dehydration in 58 patients, 3 patients after chemotherapy. A puncture success rate of 94% vein puncture in 9 cases of which failed to take remedial action successful. second puncture, 17 cases of success, and the third successful puncture in 4 cases. 1.2 How 1.2.1 The successful puncture technique (1) choose the right vein is half the battle. Generally superficial scalp veins, reticular distribution of blood through the collateral back, so the anterograde and retrograde puncture did not affect the back. Generally preferred amount of median vein, the amount of superficial vein and the superficial temporal vein, ear vein, followed by skull gap between the veins. (2) The operator must have a good psychological quality, maintaining emotional stability, easy, and more families with children to communicate and establish good The nurse-patient relationship and increase a sense of trust. (3) Scalp choice: to 5, scalp acupuncture is appropriate, such a