112 Improving Neonatal Vascular Access in Surgical Patients

Abstract Aim Many neonatal surgical patients require intravenous (IV) access for >1 week. Technical, organisational, and cultural factors reduced placement of peripherally inserted central catheters (PICCs). Most babies requiring parenteral nutrition/central medications undergo venous line under general anaesthetic (GA). Repeated bedside cannulation causes distress to parents, with workload burden resulting in extravasation injuries. We aim reduce these by increasing PICC usage a ward setting. Method followed Plan, Do, Study, Act cycle over 4 months. Results Final results pending. The intervention has occurred, 1 month we will re-measure: measure risks (through an iterative process), including: Conclusions initial message yielded perceptions that ‘the department is doing things wrong’. PICCs adding ‘extra string our bow’ was clearer, non-judgemental strong rationale change. Training non-rotating staff promotes sustainability but required senior clinician agreement procure equipment, delaying timeline – target completion month.