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Updated: Sep 13, 2025

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From Classroom to Practice: Boosting ENP Proficiency With Online POCUS Training.

Andrew Walsh1, Pedro A Colio, Sukhdeep Singh

  • 1Author Affiliations: Hahn School of Nursing and Health Sciences, University of San Diego (Dr. Walsh); San Diego State University, Imperial Cardiac Center (Dr. Colio); and University of California, San Diego (Dr. Singh).

Advanced Emergency Nursing Journal
|July 29, 2025
PubMed
Summary
This summary is machine-generated.

Integrating online learning into Point of Care Ultrasound (POCUS) training for Emergency Nurse Practitioners (ENPs) significantly boosted confidence in key skills like eFAST and echocardiograms, enhancing practical proficiency.

Keywords:
eFASTemergency trainingnurse practitioneronline learningsonogram trainingultrasound

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Area of Science:

  • Emergency Medicine
  • Medical Education
  • Diagnostic Imaging

Background:

  • Point of Care Ultrasound (POCUS) is vital in emergency medicine for decision-making and patient outcomes.
  • POCUS training is standard for fellows but underdeveloped for Emergency Nurse Practitioners (ENPs), lacking standardized assessment.
  • The American College of Emergency Physicians (ACEP) suggests online didactics to complement hands-on POCUS training.

Purpose of the Study:

  • To enhance POCUS training for ENPs by integrating ACEP's online modules into an existing sonogram program.
  • To assess the impact of online didactic modules on ENP confidence and proficiency in POCUS skills.
  • To evaluate the effectiveness of a blended learning approach for POCUS education in ENP programs.

Main Methods:

  • A pilot project incorporated ACEP's online POCUS modules into the ENP sonogram program.
  • Former ENP students (traditional training) and current ENP students (online modules + labs) completed confidence surveys.
  • Proficiency in performing Extended Focused Assessment with Sonography in Trauma (eFAST) exams was assessed on live models.

Main Results:

  • Significant confidence increases were observed in eFAST (28.57%), echocardiograms (25%), and ocular sonograms (41.67%).
  • A decrease in confidence for vascular access (16%) was noted, attributed to reduced dedicated time.
  • ENP students using the new training method showed improved eFAST exam proficiency on live models.

Conclusions:

  • Integrating online modules into ENP POCUS training is a cost-effective way to deliver didactic content.
  • This blended approach allows for increased hands-on practice time, improving skill acquisition.
  • Enhanced POCUS training for ENPs can improve diagnostic capabilities and patient care in emergency settings.