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Published on: August 9, 2024
Training Program for Ultrasound-Guided Intravenous Catheter Insertion.
Samantha J Filipovich1, John W Dilgard1, Simon P Conrad1
1Naval Hospital Jacksonville, Uniformed Services University, Jacksonville, FL 32214, USA.
Ultrasound-guided peripheral intravenous (USGPIV) catheter insertion training significantly improved clinicians' knowledge and confidence. This led to an 18.7% increase in USGPIV technique utilization for better patient care.
Area of Science:
- Medical Education
- Point-of-Care Ultrasound
- Vascular Access
Background:
- Ultrasound guidance for peripheral intravenous (USGPIV) catheter insertion is increasingly available in diverse healthcare settings.
- Technical proficiency in USGPIV can be acquired through focused training, even for individuals with limited prior medical experience.
Purpose of the Study:
- To enhance clinicians' knowledge, confidence, and skills in performing USGPIV catheter insertions.
- To evaluate the impact of an evidence-based training program on USGPIV utilization at Naval Hospital Jacksonville.
Main Methods:
- A literature review informed the development of an USGPIV training program.
- Trainee knowledge and confidence were assessed pre- and post-training.
- Catheter placement attempts and ultrasound utilization rates were recorded before and after the intervention.
Main Results:
- USGPIV technique utilization increased by 18.7% post-training (50 of 267 cases vs. 0 of 252).
- Mean knowledge scores significantly improved from 60% to 80% (P < .001).
- Mean self-reported skill confidence scores also showed significant improvement (P < .001).
Conclusions:
- The USGPIV training program effectively improved healthcare providers' knowledge and confidence in performing the procedure.
- Implementation of the training program led to a significant increase in the use of USGPIV for peripheral intravenous catheter placement.
- Enhanced USGPIV skills are crucial for providing timely and effective patient care, especially in critical situations.
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