Background: Immunizations are often associated with pain and fear in the pediatric population. These negative emotions can have lasting effects on a patient's willingness to receive future medical care, including immunizations. Therefore, it is important to attempt to minimize the amount of pain and fear during all vaccination encounters. Purpose: A small West Michigan rural clinic had no formal process or tools for reducing pediatric pain during vaccinations. After an extensive literature review, it was decided to implement Buzzy®, a thermomechanical device, into the clinic's standardized practice for all pediatric immunizations. The goal was to improve the pediatric vaccination experience within the clinic. Methods: Using the PDSA model, two DNP students provided an in-service to the medical assistants on the use of the device. Education was also provided on the data collection tool that included an unvalidated survey assessing the parent/guardian's perception of their child's past and current vaccination experience, as well as the patient's pain level using one of three validated pain scales. Participants between the ages of 0-18 years and their parents/guardians had to be willing to use the Buzzy® device in order to enroll. Data was collected from October 2021 to January 2022. Results: Forty-five participants agreed to participate in this evidence-based practice (EBP) project. Participants' average pain score was mild with the use of Buzzy® at 2.9 out of 10. The average experience with Buzzy® was found to be significantly higher than the previous average vaccination encounter (p=.04). Finally, 95% of participants recommended continued use of Buzzy®. Conclusion: The implementation of Buzzy® during pediatric immunizations improved the immunization experience in a rural West Michigan clinic. These significant results support the continued use of Buzzy® at the clinic.
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