Abstract
Problem
Emergency medical care often necessitates placement of peripheral intravenous (PIV)
catheters. When traditional methods for obtaining PIV access are not successful, ultrasound
guidance is a rescue technique for peripheral vascular placement that improves the
quality of patient care.
Methods
The aim of this training program was to develop a process where emergency nurses would
be competent to perform ultrasound guided PIV to improve the quality of patient care
delivered while reducing throughput time. Administrative program development required
creating a nursing practice statement, procedure guideline, operational plan, and
competency validation. A training program comprising both didactic and hands-on training
was developed and provided by emergency medicine physicians with formal ultrasound
fellowship training.
Results
In determining whether the training program was adequate in preparing the student
to place an ultrasound-guided PIV, 92.9% of students “agreed” or “strongly agreed.”
In having confidence in their ability to obtain an ultrasound guided PIV catheter
placement, 35.7% of respondents “agreed” and 64.3% “strongly agreed.” In finding it
difficult to be successful in achieving ultrasound guided PIV catheter placement,
71.4% of students “strongly disagreed” and 14.3% “disagreed.” All students (100%)
felt it was a feasible task to train nurses to successfully place ultrasound-guided
PIV catheters and 71.4% of students strongly support continuing to provide this training
program and competency validation.
Discussion
Establishment of an effective didactic and hands-on training program resulted in emergency
department nurses becoming competent in placement of ultrasound guided PIV catheters
to provide optimal patient care.
Contribution to Emergency Nursing Practice
- •Increasing rates of success and decreasing time for placement of vascular access are critical for optimal patient management in the emergency department.
- •When obtaining peripheral intravenous access in the traditional manner has failed, ultrasound guidance is an effective and safe alternative available to emergency nurses.
- •Development of an educational program, including both didactic and hands-on training, can achieve successful competency for emergency nurses in establishing ultrasound-guided peripheral intravenous access.
Key words
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References
- Clinical practice guideline: difficult intravenous access. October 2015.
- Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement.J Vasc Access. 2016; 17: 366
- Ultrasound-guided access for peripheral intravenous therapy.MedSurg Matters, Academy Medical-Surgical Nurses. 2014; 23: 9-15
- Focused simulation training: emergency department nurses' confidence and comfort level in performing ultrasound-guided vascular access.J Vasc Access. 2014; 16: 515-520
- Developing and sustaining an ultrasound-guided peripheral intravenous access program for emergency nurses.Adv Emerg Nurs J. 2010; 32: 173-188
- Implementation of a successful registered nurse peripheral ultrasound-guided intravenous catheter program in an emergency department.J Emerg Nurs. 2012; 38: 353-356
- Survey response rate levels and trends in organizational research.Hum Relat. 2008; 61: 1139-1160
Biography
Courtney Edwards, Member, ENA, Dallas County Chapter, is Trauma Outreach Education, Injury Prevention, & Research Manager, The Rees-Jones Trauma Center at Parkland, Parkland Health & Hospital System, Dallas, TX.
Biography
Jodi Jones is Assistant Professor, UT Southwestern Medical Center, Emergency Medicine Faculty Physician, Parkland Health & Hospital System, Dallas, TX.
Article info
Publication history
Published online: August 09, 2017
Footnotes
Earn Up to 6.5 CE Hours. See page 104.
Identification
Copyright
© 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
