TY - JOUR
T1 - Outcomes of a Simplified Ultrasound-Guided Intravenous Training Course for Emergency Nurses
AU - Feinsmith, Sarah
AU - Huebinger, Ryan
AU - Pitts, Michael
AU - Baran, Emily
AU - Haas, Sheila
N1 - Publisher Copyright:
© 2017 Emergency Nurses Association
PY - 2018/3
Y1 - 2018/3
N2 - Introduction: Various medical or anatomical conditions can lead to difficult intravenous access (DIVA) in the emergency department. It was hypothesized that developing an emergency nurse-training program could reduce IV attempts in the emergency department, improving throughput and patient care. Methods: Emergency nurses completed a 4-hour ultrasound-guided intravenous (USGIV) access course and achieved competency after 10 successful supervised USGIV insertions on patients. Data were collected from a nurse-completed USGIV log and the electronic medical record. Experience levels, rates of completion, rates of success, and the effects on attempts of IV access were analyzed. Results: Thirty-four emergency nurses enrolled in the study over 9 months, and 12 (35%) developed competency. Successful cannulation rates improved from 81% for procedure attempts 1 to 10, to 96% for attempts 21 to 30. Overall IV attempts by nurses and physicians (n = 24,471) decreased by 2%, P = 0.013. DIVA IV attempts (n = 1,366) decreased by 7%, P = 0.003. Discussion: USGIV training programs can decrease total number of IV attempts. A simplified and economical USGIV training program for emergency nurses can be successful and may be dependent on emergency nurse experience levels and initiative. [Figure presented]
AB - Introduction: Various medical or anatomical conditions can lead to difficult intravenous access (DIVA) in the emergency department. It was hypothesized that developing an emergency nurse-training program could reduce IV attempts in the emergency department, improving throughput and patient care. Methods: Emergency nurses completed a 4-hour ultrasound-guided intravenous (USGIV) access course and achieved competency after 10 successful supervised USGIV insertions on patients. Data were collected from a nurse-completed USGIV log and the electronic medical record. Experience levels, rates of completion, rates of success, and the effects on attempts of IV access were analyzed. Results: Thirty-four emergency nurses enrolled in the study over 9 months, and 12 (35%) developed competency. Successful cannulation rates improved from 81% for procedure attempts 1 to 10, to 96% for attempts 21 to 30. Overall IV attempts by nurses and physicians (n = 24,471) decreased by 2%, P = 0.013. DIVA IV attempts (n = 1,366) decreased by 7%, P = 0.003. Discussion: USGIV training programs can decrease total number of IV attempts. A simplified and economical USGIV training program for emergency nurses can be successful and may be dependent on emergency nurse experience levels and initiative. [Figure presented]
KW - Competency
KW - Difficult intravenous access
KW - Economical
KW - Intravenous attempts
KW - Outcomes
KW - Ultrasound-guided intravenous
UR - http://www.scopus.com/inward/record.url?scp=85034427172&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85034427172&partnerID=8YFLogxK
U2 - 10.1016/j.jen.2017.10.001
DO - 10.1016/j.jen.2017.10.001
M3 - Article
C2 - 29126559
AN - SCOPUS:85034427172
VL - 44
SP - 169-175.e2
JO - Journal of Emergency Nursing
JF - Journal of Emergency Nursing
SN - 0099-1767
IS - 2
ER -