Pediatric IV Infiltrate

[cchsmp1999]

I just had a terrible night, I had a 2 yo that had D5 1/2 NS running at 40cc/hr and her IV looked fine all night, she had trouble falling asleep and was all over the crib rolling around and having trouble falling asleep. Around 6am her parents called me into the room to check on her she had vomited, and I noticed that the hand she had an IV in was hard and edematous. I stopped fluids, took out IV and told parents to elevate her arm until the physicians came to look at it. I know that our protocol is to check IV hourly, I didn't want to disturb her since she had such a hard time falling asleep. And she didn't seem in any pain. I feel terrible about causing this to the pt and the family. I know it is my fault for not checking as I should have been. Has anyone heard of this happening to them? And if so were they fired/suspended or anything like that. I am so upset about this and not sure, I am a new nurse and am scared, this went all the way up to the legal dept. and nursing administration. Please help

So disappointed in myself

[msmcrn]

only 6cc went in. the preop ABx was a small dose for the baby. i will never forget this situation and i know that i can only learn from it and it will force me to monitor every PIV site i have.

[bkleriRN]

Just out of curosity,does anyone know if there is a pump exclusively for pediatric patients? it would be nice if there was a pump that could alarm when a IV site is infiltrating.