Multi-center Qualitative Observational Evaluation of Ultrasound Probe Protection using a Sterile Transparent Barrier and Securement Dressing to Standardize UGPIV Catheter Insertions

Abstract

Ultrasound-guided peripheral intravenous (UGPIV) catheter insertions are commonly used to establish intravenous access in patients with difficult vascular access. Probe protection and supply usage with UGPIV insertions in acute care varies across clinicians and departments, with a lack of standardization. This multicenter qualitative evaluation compared probe protection using a sterile transparent barrier and securement dressing with a sterile sheath probe cover to standardize UGPIV catheter insertions. Investigators posited that by separating the gel and ultrasound probe from the skin, the barrier dressing would provide a standardized alternative to sheath probe covers. Results of 210 individual clinician responses following the use of the probe protective barrier dressing reported 97% to agree/strongly agree for the significant parameters of gel separation, adherence, size, imaging, ease of use, improved aseptic technique, and preference over sterile probe cover. Ninety-nine percent of respondents recommended adopting the new dressing and standardized procedure instead of the current probe sheath cover. Analysis of before and after supply costs for UGPIV probe protective supplies using the sheath probe cover was $10.54 and $4.47 using the barrier dressing. Incorporating the barrier dressing resulted in a 57% cost reduction in supplies. While more research is warranted on probe protection, the findings of this study suggest that standardization of the UGPIV protocol may be facilitated and improved using a transparent barrier dressing versus a probe sheath cover.