Improving Nursing Care of Pediatric Needlestick Pain in the Hospital Setting 


Despite the weight of clinical evidence and guidelines from the American Academy of Pediatrics and the American Pain Society for use of topical local anesthetics for pediatric non-emergent invasive procedures such as IV-line placement, pain associated with these procedures remained seriously undermanaged. 

JumpStart in Action

JumpStart developed a multi-pronged solution to address the management of needlestick pain in pediatric patients.

Nurse Satisfaction Survey

JumpStart partnered with the Emergency Nurse Association, The Infusion Nurses Society, and the Society of Pediatric Nurses to conduct a validated survey to determine nurses’ perspectives on the management of pediatric peripheral venous access pain and its impact on the hospital experience for patients, families, and nurses. The results of the Nurse Perceptions of Peripheral Venous Access Pain Management in Children: Implications for Nurse and Patient Satisfaction survey were presented as poster presentations during several annual professional society meetings.

Comfort Counts Program

JumpStart developed and managed a program called Registered Nurses for Venipuncture Optimization through Increased Comfort and Education (RN VOICE), a multidisciplinary effort whose mission was to improve the pediatric needlestick experience through education, advocacy, and healthcare-professional collaboration.   

Under the Comfort Counts umbrella, JumpStart created:

  • Multiple Steering Committee meetings (both in-person and via Web conference)
  • Train-the-Trainer meetings
  • RN VOICE video
  • Core curriculum slide library
  • A hospital workbook
  • Mentorship programs

Making A Difference

Comfort Counts Program

The Comfort Counts program reached more than 3,000 nurses and other healthcare professionals and inspired and empowered hospitals to develop venous access pain management protocols.  

Comfort Counts Roundtable & Journal Supplement

JumpStart also convened a multidisciplinary roundtable of subject matter experts (SMEs) to discuss the problem of venous access pain in children. The results of the expert roundtable meeting were published as a supplement in Pediatrics. This supplement provided practical recommendations for institutions to systematically improve their management of pediatric pain. The supplement reached the AAP subscriber base of 60,0000 pediatricians and represented a landmark in pediatric pain due to its depth of information and the inclusion of practical clinical applications. 

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