The Effect Of Using The Diva Score Screening On The Success Of IV Insertion In The Pediatric Ward Unit Of M Hospital, Jakarta
Abstract
IV insertion is an invasive procedure that can cause complications such as pain, anxiety, and trauma. In the Pediatric Ward Unit of M Hospital, Jakarta, IV insertion failures still occur in children, often due to factors like small vein diameters, non-linear vein shapes, and thinner, more fragile vein walls. The DIVA score was developed and is used as a guideline to determine the success rate of intravenous insertion. This study aims to analyze the effect of using the DIVA score screening on the success rate of IV insertions in the Pediatric Ward Unit of M Hospital, Jakarta. A quasi-experimental design with a control group was employed. The study population consisted of 36 pediatric patients aged 0-13 years in the Pediatric Ward of M Hospital, Jakarta. Data collection was carried out through observation by filling in the DIVA Score observation sheet. The study results that IV insertion without using the DIVA score screening, 8 respondents (44.4%) succeeded with one attempt, 7 respondents (38.9%) succeeded after two attempts, and 3 respondents (16.7%) succeeded after more than two attempts. In contrast, for IV insertion using the DIVA score screening, all 18 respondents (100%) succeeded with just one attempt. There is a significant difference in the success rate of IV insertion when using the DIVA score screening, with a p-value of 0.000 ≤ 0.05. It is recommended that the DIVA score be implemented comprehensively, especially in units that frequently deal with patients at risk of difficult venous access.
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