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Titre : | Outcomes of a Simplified Ultrasound-Guided Intravenous Training Course for Emergency Nurses (2018) |
Auteurs : | Sarah Feinsmith ; Ryan Huebinger ; Michael Pitts ; et al. |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n°2, March 2018) |
Article en page(s) : | p. 169-175 |
Note générale : | https://doi.org/10.1016/j.jen.2017.10.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Compétence ; Échographie ; Financement ; Formation ; Infirmiere d'urgence ; Injection intraveineuse ; Programme |
Mots-clés: | Programme d'entraînement |
Résumé : |
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. Image 1 Contribution to Emergency Nursing Practice This research evaluates the outcomes of an ultrasound-guided intravenous (USGIV) training program for newly trained emergency nurses on an emergency departments ability to deliver cost-effective and efficacious care by reducing attempts at IV access in the emergency department. A simplified and economical USGIV program is described, and potential rates of completion and nurses most likely to succeed are identified. USGIV placement is a skill that can be mastered by emergency nurses of all skill levels, including novice emergency nurses. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |