• J Emerg Nurs · Mar 2018

    Outcomes of a Simplified Ultrasound-Guided Intravenous Training Course for Emergency Nurses.

    • Sarah Feinsmith, Ryan Huebinger, Michael Pitts, Emily Baran, and Sheila Haas.
    • Chicago, IL. Electronic address: smims@nm.org.
    • J Emerg Nurs. 2018 Mar 1; 44 (2): 169-175.e2.

    IntroductionVarious 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.MethodsEmergency 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.ResultsThirty-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.DiscussionUSGIV 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.Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

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