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Training nurses to place tunnelled central venous catheters
1Royal Liverpool and Broadgreen University Hospitals NHS Trust.
Professional Nurse (London, England)
|May 25, 2002
Summary
Experienced nurses in radiology and haematology can now place tunnelled central venous catheters (CVCs) using sonography and fluoroscopy. With proper training, nurses enhance their skills, improving patient services for CVC placement.
Area of Science:
- Medical Imaging and Interventional Radiology
- Vascular Access Procedures
- Nursing Practice Advancement
Background:
- Nurses in radiology and haematology are expanding their clinical roles.
- Central venous catheters (CVCs) are essential devices for patient care.
- The placement of CVCs traditionally involves specialized physicians.
Purpose of the Study:
- To evaluate the expanded role of experienced nurses in placing tunnelled central venous catheters.
- To assess the feasibility and efficacy of nurse-led CVC insertion.
- To determine if nurses can safely and effectively utilize real-time sonography and fluoroscopy for CVC placement.
Main Methods:
- Experienced nurses received specialized training and supervised practice.
- Real-time sonography and fluoroscopy were employed for guidance during catheter placement.
- Patient outcomes and procedural success rates were monitored.
Main Results:
- Nurses demonstrated increased knowledge and proficiency in CVC placement post-training.
- The use of sonography and fluoroscopy by nurses facilitated accurate catheter positioning.
- Nurse-led CVC insertion was found to be a viable and effective service enhancement.
Conclusions:
- Experienced nurses can successfully expand their scope of practice to include tunnelled central venous catheter placement.
- Training and supervised practice are key to developing nursing expertise in interventional procedures.
- This expanded role has the potential to improve patient access to CVC services and optimize healthcare delivery.