Developing and Sustaining an Ultrasound-Guided Peripheral Intravenous Access Program for Emergency Nurses

White, Ann; López, Fernando García; Stone, Phillip J.

doi:10.1097/tme.0b013e3181dbca70

Cited by 39 publications

(36 citation statements)

References 12 publications

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“…For nursing staff and ED technicians training sessions include at least a 1-hour didactic with additional hands-on training time (Bauman, Braude, & Crandall, 2007;(Blaivas & Lyon, 2006;Chinnock et al, 2007;Schoenfeld et al, 2010;Stein et al, 2009;White et al, 2010)). (White et al, 2010) recommended a 3-hour educational program to include didactic, simulation and hands-on practice prior to beginning an ultrasound-guided IV access program.…”

Section: Educational Considerationsmentioning

confidence: 99%

Emergency Nursing Resource: Difficult Intravenous Access

Crowley¹,

Brim²,

Proehl³

et al. 2012

Journal of Emergency Nursing

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Section: Educational Considerationsmentioning

confidence: 99%

Emergency Nursing Resource: Difficult Intravenous Access

Crowley¹,

Brim²,

Proehl³

et al. 2012

Journal of Emergency Nursing

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“…Regarding the teaching of this procedure, search in literature shows that the learning process for the use of this technology has different audiences, mainly physicians and nurses, mostly inexperienced with the use of ultrasound, and who are usually inserted in institutional training programs or other long-term formal courses. It is organized in a fairly diverse way, with the duration of trainings ranging from one hour to one month for the theoretical stage and from 75 minutes to three days for the practical stage (26)(27) . It should be noted, however, that is not always feasible to base the training for the use of such technology establishing numerical goals for acquiring such competencies, considering the particularities of each professional in the teaching-learning process (11) .…”

Section: Discussionmentioning

confidence: 99%

Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

2016

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Objective: to evaluate the training of nurses in the use of ultrasound in peripheral venipuncture. Method: descriptive research of quantitative approach performed with nurses as part of an analytical cross-sectional study in two patient care centers: an intensive care unit and an adult emergency center. Results: the results showed contributions of training for professional skill and visibility of nurses, requiring, however, more time for complete assimilation of this technological innovation as a safer clinical practice. Conclusion: as the use of this technology represents an innovation aimed to facilitate diffi cult venipuncture and to provide subsidies to the most appropriate clinical decision-making, it is urgent to qualify nurses for its use. Descriptors: Evidence-based Nursing; Technology; Training; Ultrasound; Peripheral Catheterization. RESUMO Objetivo: avaliar a capacitação dos enfermeiros para o uso da tecnologia da ultrassonografi a na punção venosa periférica. Método: pesquisa descritiva de abordagem quantitativa, realizada com enfermeiros como etapa de um estudo transversal analítico em dois centros de atendimento ao paciente crítico: uma unidade de terapia intensiva e uma unidade de pronto atendimento adulto. Resultados: os resultados demonstraram contribuições da capacitação na habilidade e visibilidade profi ssional dos enfermeiros, com necessidade, entretanto, de maior tempo de vivência e aprendizado dos participantes para o domínio e assimilação desta inovação tecnológica enquanto prática clínica mais segura. Conclusão: na medida em que o uso desta tecnologia representa uma inovação destinada a facilitar o procedimento de punção venosa de difícil acesso e prover subsídios à tomada da decisão clínica mais adequada para cada paciente, faz-se premente à enfermagem capacitar-se para o seu uso. Descritores: Enfermagem Baseada em Evidências; Tecnologia; Capacitação; Ultrassonografi a; Cateterismo Periférico. RESUMEN Objetivo: evaluar la capacitación de enfermeros para el uso de la tecnología de la ecografía en la punción venosa periférica. Método: estudio descriptivo con enfoque cuantitativo realizado con enfermeros como una etapa de un estudio analítico transversal en dos centros de atención a pacientes en estado crítico: una unidad de cuidados intensivos y una unidad de emergencia para adultos. Resultados: los resultados mostraron contribuciones de la capacitación en las habilidades y la visibilidad profesional de los enfermeros. Sin embargo, se necesita más tiempo de experiencia y de aprendizaje de los participantes para alcanzar el dominio y asimilar esta innovación tecnológica como una práctica clínica más segura. Conclusión: en la medida en que el uso de esta tecnología es una innovación para facilitar el procedimiento de punción venosa de difícil acceso y proporcionar subsidios para tomar la decisión clínica más adecuada para cada paciente, la capacitación de la enfermería es urgente para utilizar tal tecnología. Descriptores: Enfermería Basada en la Evidencia; Tecnología; Capacitación...

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“…4 Peripheral IV access using ultrasound (PIVUS) has also been studied with no appreciable difference in ability or efficacy among emergency department physicians, physician assistants, registered nurses (RNs), or technicians. 5 However, efforts to pursue training for PIVUS has generally not been forthcoming, and the learning curve for PIVUS skills appears to be the main barrier. 6,7 Prior studies have demonstrated similar success rates for nurses compared with other practitioners: These studies reported a success rate at first attempt ranging from 56% to 97% for emergency department physicians, 74% for nurse anesthetists, 75% to 81% for emergency department technicians, and 44% to 87% for emergency department RNs.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Prior studies have demonstrated similar success rates for nurses compared with other practitioners: These studies reported a success rate at first attempt ranging from 56% to 97% for emergency department physicians, 74% for nurse anesthetists, 75% to 81% for emergency department technicians, and 44% to 87% for emergency department RNs. 5,[8][9][10][11][12][13][14][15] Time to successful cannulation on first attempt was variable among physicians, ranging from a few minutes to about an hour. 6,[8][9][10][11] The number of attempts before achieving successful cannulation for emergency department physicians ranged from 1.3 to 3, and for emergency department technicians the range was 1.3 to 2.3.…”

Section: Introductionmentioning

confidence: 99%

“…6,[8][9][10][11] The number of attempts before achieving successful cannulation for emergency department physicians ranged from 1.3 to 3, and for emergency department technicians the range was 1.3 to 2.3. 5,[8][9][10][11][12]14 However, neither time to successful cannulation nor the number of attempts to successful cannulation were measured for nurses. 14, 15 We report the results of implementing a standardized training curriculum for RNs on how to place peripheral IVs using ultrasound guidance.…”

Section: Introductionmentioning

confidence: 99%

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Peripheral Intravenous Access Using Ultrasound Guidance: Defining the Learning Curve

Ault

Tanabe

Rosen

2015

Journal of the Association for Vascular Access

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Background: The need for peripheral intravenous (IV) access in anatomically challenging patients is becoming a more commonly encountered clinical problem. The significant investment devoted to physician training for ultrasound-guided vascular access has not yet been matched by a similar commitment to nursing. Nurses, paramedics, and physicians are becoming more enthusiastic about peripheral IV access with ultrasound (PIVUS); however, institutional and clinician support has not yet been forthcoming. The learning curve for PIVUS has never been rigorously studied, and may be flatter than previously assumed. Methods: Registered nurses were selected to participate as trainees. Training involved 1:1 sessions consisting of formal orientation to portable ultrasound, mentoring, and practice sessions with a nurse practitioner who has expertise in ultrasound-guided peripheral vascular access; hands-on, supervised practice cannulating vessels on a nonhuman tissue simulator; and supervised attempts on live patients. Results: Seven of 8 trainees completed the training. The average number of patient encounters required to achieve 10 successful IV placements was 25 (range ¼ 18-32). The average time required for successful vessel cannulation was 19.57 minutes (range ¼ 5-62 minutes). An average of 25 attempts was required to achieve proficiency, and average of 50 cases was required to maintain consistency. Conclusions: In today's practice environment, PIVUS skills are increasingly important. The results of our study demonstrate that, with appropriate hands-on training and supervision, these skills can be effectively taught to registered nurses.

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Developing and Sustaining an Ultrasound-Guided Peripheral Intravenous Access Program for Emergency Nurses

Cited by 39 publications

References 12 publications

Emergency Nursing Resource: Difficult Intravenous Access

Emergency Nursing Resource: Difficult Intravenous Access

Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

Peripheral Intravenous Access Using Ultrasound Guidance: Defining the Learning Curve

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