Using the PIVO device to collect blood cultures in the emergency department
PIVO-ED: Protocol for Intermountain Venous Access Optimization for Blood Cultures in the Emergency Department
This project will try using the needle-free PIVO device to collect blood cultures from emergency department patients to reduce needle sticks while keeping culture accuracy.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 10000 (estimated) |
| Sex | All |
| Sponsor | Intermountain Health Care, Inc. Academic / other |
| Locations | 1 site (Park City, Utah) |
| Trial ID | NCT07348289 on ClinicalTrials.gov |
What this trial studies
This is a prospective implementation study that will train ED staff to use the needle-free PIVO device for blood culture collection at three Intermountain Health emergency departments, with potential expansion to three additional sites. Training will occur in October 2025 and cover indications, technique, workflow integration, and Epic documentation, followed by 13 months of protocol implementation and data collection from November 2025 to October 2026. The team will monitor PIVO utilization, blood culture contamination rates, and adoption metrics to compare performance with existing collection methods. Results will determine whether the protocol should be expanded to the planned secondary sites.
Who should consider this trial
Good fit: Any emergency department patient who requires blood cultures during their ED visit at a participating site is eligible.
Not a fit: Patients who do not need blood cultures, whose blood must be drawn from indwelling central lines, or who are not treated at participating EDs are unlikely to benefit.
Why it matters
Potential benefit: If successful, patients could have fewer needle sticks and fewer contaminated blood cultures, leading to faster, more accurate diagnosis and treatment.
How similar studies have performed: Prior studies of PIVO for routine blood draws have shown comparable or lower hemolysis and contamination rates versus standard venipuncture, so this implementation builds on existing evidence.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients in whom blood cultures are obtained in the emergency department. \- Exclusion Criteria: none \-
Where this trial is running
Park City, Utah
- Park City Hospital — Park City, Utah, United States (Recruiting)
Study contacts
- Study coordinator: Troy E. Madsen, MD
- Email: troy.madsen@imail.org
- Phone: 435-658-7500
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.