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Peripheral DVA (Difficult Venous Access)
There is some difficulty in placing a peripheral intravenous (IV) line in most children. Key factors for children at risk for DVA are age, medical history, and cooperation level; also, the number of available access sites, number of days a child is expected to require IV therapy, and patient's level of anxiety.
DVA, a clinical condition in which multiple attempts and/or special interventions are anticipated or required to achieve and maintain peripheral venous access. Examples of special intervention are technologies for enhanced vein visualization or staff with unique expertise, (Journal of Emergency Nursing/September 2009).
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