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(40) POKE Plan: Standardizing Pain Management During Central Line Access for Pediatric Hematology Oncology Patients Across the Hospital

Location: Exhibit Hall D
Title: POKE Plan: Standardizing Pain Management During Central Line Access for Pediatric Hematology Oncology Patients Across the Hospital

Abstract : Basis of inquiry
In pediatric hematology oncology, central venous access devices (CVADs) are essential for treatment but often create challenges related to line access and appropriate pain management during this procedure. The creation of a poke plan aims to empower both patients and staff to manage central line access confidently and comfortably, both in outpatient and inpatient settings.
Purpose/Objectives
The purpose of this project was to develop individualized patient plans that provides pain management options and clear guidelines for central line access that are unique to the patient’s needs.
Methods
A poke plan menu was created outlining various pain management strategies, which was built into the electronic medical record (EMR). This allowed all healthcare providers to access and implement the plan consistently, ensuring that patients received uniform care. To get all hematology oncology patients with a central line a poke plan initiated, a list of patients was created so that at their next scheduled visit we could ensure a poke plan was created. During these clinic visits, patients and families were educated on available pain management options, and plans were reviewed at each subsequent visit to address any changes.
Findings or Outcomes
Since the poke plan went live in the EMR December 17th, 2024, there was a total of 46 pediatric patients with central lines, encompassing both oncology and hematology diagnoses. Of these, 43 patients had the poke plan discussed and documented since its creation in the EMR. This is over a 93% completion of the poke plan. The success of this initiative within our unique hematology oncology population sets the foundation for expanding the poke plan to all pediatric patients within the hospital.