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培训,技术和升级IV接入:全国调查临床医生的经验,有困难的静脉接入

Amit Bahl¹, Nicholas Mielke²

¹Department of Emergency Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.

The journal of vascular access

|February 27, 2026

概括

许多护士缺乏对超声波引导的外周血管接入装置 (PVAD) 插入的培训和信心,尽管设备可用. 结构化培训对于改善程序成功和患者结果至关重要.

科学领域:

医疗器械医疗器械
临床程序临床程序
医疗培训医学培训

背景情况:

外周血管接入装置 (PVAD) 插入是一种频繁,关键的程序,成功率可变,并发症常见.
超声波 (美国) 指导可以改善难以进入静脉 (DIVA) 的结果,但采用和培训是不一致的.
评估了临床医师的临床实践,培训和对PVAD安置的信心,包括美国的使用.

研究的目的:

评估当前的实践,培训和临床医生对PVAD插入的信心水平.
在PVAD安置中识别采用超声波 (US) 指导的障碍.
为制定有针对性的培训计划提供信息.

主要方法:

在2025年7月9日至9月2日期间,对321名临床医生进行了调查 (247名临床医生,74名非临床医生).
调查项目包括人口统计,临床角色,PVAD实践,美国可用性,培训和自我报告的信心.
数据分析的重点是比较不同临床医生群体之间的经验和信心,特别是工作人员护士和血管接入护士.

主要成果:

血管接入护士 (55.5%) 和工作人员护士 (21.5%) 主导;38.9%经常遇到困难的PVAD病例 (>2次尝试).
美国护士在83.0%的单位可用,但与血管接入护士 (92.1%和90.4%) 相比,工作人员护士的接入率 (59.4%) 和个人使用率 (37.7%) 较低.
工作人员护士报告说,对美国指导插入的信心 (26.1%) 和正式培训 (23.2%) 在血管接入护士 (85.4%和47.2%) 与血管接入护士 (85.4%和47.2%) 相比显着较低.

结论:

美国广泛的可用性并不能转化为所有临床医生的一致使用,特别是缺乏访问,培训和信心的员工护士.
现有的政策往往要求多次插入尝试,可能会增加患者的伤害.
结构化,基于能力的培训对于提高所有临床临床医生的技能获取,程序成功和患者结果至关重要.

关键词:

难以进入静脉的情况.教育教育教育教育的教育.这是一种干预性干预.护理护理护理周边静脉注射导管是外围静脉注射导管外围血管接入装置的外围血管接入装置.培训培训培训培训培训培训培训超声波超声波是指超声波的使用.血管接入装置是指血管接入装置.

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