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Education, Teaching, and Quality Improvement |

Examination of Acute Care Nurse Attitudes Toward Use of Ultrasound Guided Peripheral IV Catheter Insertion

Ryan Richard, MD; Tonya Jagneaux, MD
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LSUHSC - Baton Rouge, Baton Rouge, LA


Chest. 2015;148(4_MeetingAbstracts):472A. doi:10.1378/chest.2281546
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Abstract

SESSION TITLE: Process Improvement in Obstructive Lung Disease Education, Pneumonia Readmissions and Rapid Response Systems I

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Ultrasound imaging is rapidly becoming more popular due to its ease of use, affordability, and improving technology. Standard nursing education has historically taught skills for routine IV access without ultrasound. Literature reports now demonstrate nursing staff utilizing this technology to enhance insertion of peripheral intravenous (IV) catheters in patients. Successful peripheral IV access when obtained with the aid of ultrasound should decrease the number of CVCs placed and in turn decrease the number of complications they are associated with. Increasing the skill of our acute care nurses by arming them with ultrasound imaging technology is the goal of two of our local hospital systems. Since this is a new area of practice, standardized educational protocols and an understanding of nursing attitudes towards using this technology have not been defined.

METHODS: The two primary hospital campuses in Baton Rouge, LA (Our Lady of the Lake and Baton Rouge General Medical Center conducted nurse education in the area of ultrasound guided peripheral IV catheter insertion. The participants were acute care nurses. This was done with distributed reading materials and videos followed by hour long classroom sessions. Prior to this educational component, we surveyed nurses to gain perspective on their past experience and present attitudes towards use of ultrasound with peripheral IV catheter insertion. We then allowed 6-12 months for the nurses to use these new skills in their respective patient care settings. Then the nurses were re-surveyed to see if changes in attitude occurred with ultrasound education and experience.

RESULTS: Between the 2 hospitals, there were 90 nurses who filled out the pre-training survey and 48 who filled out the post-training survey. Statistically significant data indicates that since these ultrasound courses have been implemented, more nurses are using ultrasound to attempt IV access. Other non statistically significant results suggest: 1.Nurses seek help with difficult IVs 2.Ultrasound use takes more time 3.Many are teaching each other 4.More training sessions are needed to increase confidence

CONCLUSIONS: By implementing structured teaching courses, acute care nurses are now using ultrasound more frequently than before. We feel like several courses are needed before nurses can truly be proficient with ultrasound use. Their attitudes appear favorable to ultrasound usage

CLINICAL IMPLICATIONS: Increasing nursing expertise with ultrasound will lead to fewer central lines and better outcomes.

DISCLOSURE: The following authors have nothing to disclose: Ryan Richard, Tonya Jagneaux

No Product/Research Disclosure Information


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