Learning Center
Transforming Peripheral Intravenous Catheter Care: One P.O.K.E. at a Time [virtual]
Includes a Live Web Event on 04/13/2026 at 8:00 AM (EDT)
Peripheral intravenous infiltrations and extravasations (PIVIEs) remain a significant source of preventable harm, patient distress, and healthcare cost, especially in pediatric settings, where families often cite intravenous (IV) starts and failures as the most stressful part of a hospitalization. With over 80% of hospitalized patients requiring a peripheral intravenous catheter (PIVC), proactive prevention strategies are essential. This session introduces and discusses the P.O.K.E. initiative (Previous PIVIE, Oral transition, Keep it, Educate PIV plan to family and team), a structured communication tool designed to reduce PIVIE rates through interdisciplinary collaboration and family engagement.
Learning Objectives: At the conclusion of this session, learners will be able to:
- Understand the complications associated with PIVIE and their impact on the child, the family, and the health care system
- Identify evidence-based tools for the prevention of PIVIE
- Evaluate current PIVIE prevention strategies implemented to determine alignment with evidence-based best practices and identify opportunities for improvement
- Recognize key risk factors that contribute to its occurrence in pediatric patients
Contact Hours: 1
CRNI® RUs: 2
Julie Marshall, DNP, RN, CCM, CNE, PED-BC
Clinical Practice Specialist
Children's Hospital Colorado
Julie Ann Marshall, DNP, RN, CCM, CNE, PED-BC, has been a pediatric nurse for over 20 years and is certified in pediatric nursing, case management, and as a certified nurse educator. She is celebrating her 20th year at Children’s Colorado and serves as the Clinical Practice Specialist for MedSurg in Colorado Springs. Her passion is to bridge evidence-based practice and quality improvement work to clinical nurses at the bedside to empower all nurses as change agents to drive improved outcomes. Dr Marshall’s current focuses are pediatric fall prevention, nurse-led rounds, and pediatric needle pain mitigation.
She has many years of clinical nursing experience, teaching practice to nursing students, new graduate nurses in a residency program, online distance learning, hospital-based and academic-based education. Dr Marshall is a member of the Association of Pediatric Hematology/Oncology Nurses and the Society of Pediatric Nurses. She has completed many quality improvement and evidence-based practice projects and has disseminated at national conferences and locally in Colorado.
Dr Marshall’s passion is to bridge evidence-based practice and quality improvement work to clinical nurses at the bedside to empower all nurses as change agents to drive improved outcomes. She strongly believes that all nurses are leaders, with or without a title. Her mission is to continue to mentor, develop, teach, and model the profession of pediatric nursing for future and current nurses, completing this through a dedication to lifelong learning and championing a safe and just culture. Dr Marshall has also served on global medical mission trips and local medical missions, and volunteers at a local hospice agency to provide companionship for the dying.
Jessica L. Perdue, DNP, MS, RN, NPD-BC, CPN
Clinical Practice Specialist
Children's Hospital Colorado
Jessica L. Perdue, DNP, MS, RN, NPD-BC, CPN, is a Clinical Practice Specialist at Children’s Hospital Colorado with more than 25 years of pediatric nursing experience and focused expertise in infusion therapy-related quality improvement and patient safety.
Dr Perdue has led organization-wide initiatives to reduce peripheral intravenous infiltration and extravasation (PIVIE) through standardized assessment, workflow redesign, policy revision, and competency-based education across emergency, urgent care, and inpatient settings. Her work emphasizes data-driven quality improvement, interdisciplinary collaboration, and alignment with INS standards.
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