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Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
880
Ultrasound-Guided Peripheral Intravenous Access Training: A Prospective Observational Study of Emergency Nurses
Hillary McKinley1, Weeden Bauman1, Erik Christensen1
1Emergency Medicine, Maine Medical Center, Portland, USA.
Cureus
|September 12, 2024
Summary
Emergency nurses can master ultrasound-guided peripheral intravenous (USGPIV) placement with practice. Completing 10 successful USGPIVs after training predicts future success, enhancing patient care.
Area of Science:
- Emergency Medicine
- Medical Education
- Ultrasound Technology
Background:
- Ultrasound-guided peripheral intravenous (USGPIV) placement offers superior outcomes compared to traditional methods.
- Limited data exists on USGPIV success rates during and after training for nurses.
Purpose of the Study:
- Quantify USGPIV attempts by nurses in training.
- Assess if 10 successful USGPIVs predict subsequent success.
- Identify failure points and training time for USGPIV credentialing.
Main Methods:
- Sixteen nurses with no prior USGPIV experience underwent training.
- Training included 1-hour didactic and 1-hour hands-on simulation.
- Direct observation of USGPIV attempts until 10 successful cannulations.
Main Results:
- Nurses attempted 200 USGPIVs with an 80% success rate.
- 14 participants achieved 10 successful USGPIVs (median 11 attempts).
- Subsequent success rate was 92.9%; median observation time was 4.13 hours.
Conclusions:
- USGPIV insertion is a valuable skill requiring practice.
- Achieving 10 successful USGPIVs post-training predicts credentialing success.
- A 2-hour training plus 4 hours observation enables proficiency.
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