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Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department
Objectives: To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters. Methods:...
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| Published in: | The journal of vascular access 2021-03, Vol.22 (2), p.232-237 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153 |
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| cites | cdi_FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153 |
| container_end_page | 237 |
| container_issue | 2 |
| container_start_page | 232 |
| container_title | The journal of vascular access |
| container_volume | 22 |
| creator | Blick, Carly Vinograd, Alexandra Chung, Jamie Nguyen, Elizabeth Abbadessa, Mary Kate F Gaines, Shannon Chen, Aaron |
| description | Objectives:
To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters.
Methods:
A database recorded all ultrasound-guided peripheral intravenous catheter encounters in the emergency department from November 2013 to April 2019 including the emergency department nurse attempting placement, number of attempts, and whether it was successful. Patient electronic medical records were reviewed for the time of and reason for intravenous removal.
The probabilities of first-attempt successful intravenous placement and complication at successive encounters after an initial training period were calculated. These probabilities were plotted versus encounter number to graph best-fit logarithmic regressions.
Results:
A total of 83 nurses completed a standardized training program in ultrasound-guided peripheral intravenous catheter placement including 10 supervised ultrasound-guided peripheral intravenous catheter placements. In total, 87% (3513/4053) of the ultrasound-guided peripheral intravenous catheter placed after the training program were successful on the first attempt. The probability of successfully placing an ultrasound-guided peripheral intravenous catheter increased as nurses had more experience placing ultrasound-guided peripheral intravenous catheters (R2 = 0.18) and was 83% at 10 encounters.
Twenty-five percent (904/3646) of ultrasound-guided peripheral intravenous catheters had complications, and there was no statistically significant relationship between the number of encounters per nurse and complication rates (R2 |
| doi_str_mv | 10.1177/1129729820937131 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2418727145</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1129729820937131</sage_id><sourcerecordid>2418727145</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153</originalsourceid><addsrcrecordid>eNp1kM1v1TAQxC3UipbCnRPKkUvAayfP9hFVfEmV6KGcI8fevKZK7LC2kXrnD69fX-GA1JOtnd_Maoext8A_ACj1EUAYJYwW3EgFEl6wc1Cia3dcipP6r3J70M_Yq5TuOBemh-4lO5OiN0r26pz9uabo0BeyS-PiumHG4O6bKVJTlkw2xRJ8uy-zR99sSPN2iwd2DlX8jSGW1Dibb6uP6jAh5TmGR38olDDVYWOr08820-waXJH2jzs8bpbyiiG_ZqeTXRK-eXov2M8vn28uv7VXP75-v_x01TopVW5HbR1o461FLXGSE0o0kxhHjlz3Bl3fTbirvXir-chH3SutxhGAAzc76OUFe3_M3Sj-KpjysM7J4bLYgPWQQXSglVDQHVB-RB3FlAinYaN5tXQ_AB8O3Q__d18t757Sy7ii_2f4W3YF2iOQ7B6Hu1go1GufD3wAK6aPxw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2418727145</pqid></control><display><type>article</type><title>Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department</title><source>Sage Journals Online</source><creator>Blick, Carly ; Vinograd, Alexandra ; Chung, Jamie ; Nguyen, Elizabeth ; Abbadessa, Mary Kate F ; Gaines, Shannon ; Chen, Aaron</creator><creatorcontrib>Blick, Carly ; Vinograd, Alexandra ; Chung, Jamie ; Nguyen, Elizabeth ; Abbadessa, Mary Kate F ; Gaines, Shannon ; Chen, Aaron</creatorcontrib><description>Objectives:
To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters.
Methods:
A database recorded all ultrasound-guided peripheral intravenous catheter encounters in the emergency department from November 2013 to April 2019 including the emergency department nurse attempting placement, number of attempts, and whether it was successful. Patient electronic medical records were reviewed for the time of and reason for intravenous removal.
The probabilities of first-attempt successful intravenous placement and complication at successive encounters after an initial training period were calculated. These probabilities were plotted versus encounter number to graph best-fit logarithmic regressions.
Results:
A total of 83 nurses completed a standardized training program in ultrasound-guided peripheral intravenous catheter placement including 10 supervised ultrasound-guided peripheral intravenous catheter placements. In total, 87% (3513/4053) of the ultrasound-guided peripheral intravenous catheter placed after the training program were successful on the first attempt. The probability of successfully placing an ultrasound-guided peripheral intravenous catheter increased as nurses had more experience placing ultrasound-guided peripheral intravenous catheters (R2 = 0.18) and was 83% at 10 encounters.
Twenty-five percent (904/3646) of ultrasound-guided peripheral intravenous catheters had complications, and there was no statistically significant relationship between the number of encounters per nurse and complication rates (R2 < 0.001).
Conclusion:
Nurses can reliably place ultrasound-guided peripheral intravenous catheters at a high success rate after an initial training period. First-attempt success rates were high and increased from 67% to 83% for the first 10 unsupervised encounters after training and remained high. The complication rate was low and did not change as nurses gained more experience.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.1177/1129729820937131</identifier><identifier>PMID: 32597357</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - nursing ; Clinical Competence ; Databases, Factual ; Education, Nursing, Continuing ; Emergency Service, Hospital ; Humans ; Inservice Training ; Learning Curve ; Nurse's Role ; Pediatric Nursing - education ; Quality Improvement ; Quality Indicators, Health Care ; Retrospective Studies ; Ultrasonography, Interventional - adverse effects ; Ultrasonography, Interventional - nursing</subject><ispartof>The journal of vascular access, 2021-03, Vol.22 (2), p.232-237</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153</citedby><cites>FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153</cites><orcidid>0000-0002-1467-5995</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32597357$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blick, Carly</creatorcontrib><creatorcontrib>Vinograd, Alexandra</creatorcontrib><creatorcontrib>Chung, Jamie</creatorcontrib><creatorcontrib>Nguyen, Elizabeth</creatorcontrib><creatorcontrib>Abbadessa, Mary Kate F</creatorcontrib><creatorcontrib>Gaines, Shannon</creatorcontrib><creatorcontrib>Chen, Aaron</creatorcontrib><title>Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Objectives:
To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters.
Methods:
A database recorded all ultrasound-guided peripheral intravenous catheter encounters in the emergency department from November 2013 to April 2019 including the emergency department nurse attempting placement, number of attempts, and whether it was successful. Patient electronic medical records were reviewed for the time of and reason for intravenous removal.
The probabilities of first-attempt successful intravenous placement and complication at successive encounters after an initial training period were calculated. These probabilities were plotted versus encounter number to graph best-fit logarithmic regressions.
Results:
A total of 83 nurses completed a standardized training program in ultrasound-guided peripheral intravenous catheter placement including 10 supervised ultrasound-guided peripheral intravenous catheter placements. In total, 87% (3513/4053) of the ultrasound-guided peripheral intravenous catheter placed after the training program were successful on the first attempt. The probability of successfully placing an ultrasound-guided peripheral intravenous catheter increased as nurses had more experience placing ultrasound-guided peripheral intravenous catheters (R2 = 0.18) and was 83% at 10 encounters.
Twenty-five percent (904/3646) of ultrasound-guided peripheral intravenous catheters had complications, and there was no statistically significant relationship between the number of encounters per nurse and complication rates (R2 < 0.001).
Conclusion:
Nurses can reliably place ultrasound-guided peripheral intravenous catheters at a high success rate after an initial training period. First-attempt success rates were high and increased from 67% to 83% for the first 10 unsupervised encounters after training and remained high. The complication rate was low and did not change as nurses gained more experience.</description><subject>Catheterization, Peripheral - adverse effects</subject><subject>Catheterization, Peripheral - nursing</subject><subject>Clinical Competence</subject><subject>Databases, Factual</subject><subject>Education, Nursing, Continuing</subject><subject>Emergency Service, Hospital</subject><subject>Humans</subject><subject>Inservice Training</subject><subject>Learning Curve</subject><subject>Nurse's Role</subject><subject>Pediatric Nursing - education</subject><subject>Quality Improvement</subject><subject>Quality Indicators, Health Care</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Interventional - adverse effects</subject><subject>Ultrasonography, Interventional - nursing</subject><issn>1129-7298</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kM1v1TAQxC3UipbCnRPKkUvAayfP9hFVfEmV6KGcI8fevKZK7LC2kXrnD69fX-GA1JOtnd_Maoext8A_ACj1EUAYJYwW3EgFEl6wc1Cia3dcipP6r3J70M_Yq5TuOBemh-4lO5OiN0r26pz9uabo0BeyS-PiumHG4O6bKVJTlkw2xRJ8uy-zR99sSPN2iwd2DlX8jSGW1Dibb6uP6jAh5TmGR38olDDVYWOr08820-waXJH2jzs8bpbyiiG_ZqeTXRK-eXov2M8vn28uv7VXP75-v_x01TopVW5HbR1o461FLXGSE0o0kxhHjlz3Bl3fTbirvXir-chH3SutxhGAAzc76OUFe3_M3Sj-KpjysM7J4bLYgPWQQXSglVDQHVB-RB3FlAinYaN5tXQ_AB8O3Q__d18t757Sy7ii_2f4W3YF2iOQ7B6Hu1go1GufD3wAK6aPxw</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Blick, Carly</creator><creator>Vinograd, Alexandra</creator><creator>Chung, Jamie</creator><creator>Nguyen, Elizabeth</creator><creator>Abbadessa, Mary Kate F</creator><creator>Gaines, Shannon</creator><creator>Chen, Aaron</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1467-5995</orcidid></search><sort><creationdate>202103</creationdate><title>Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department</title><author>Blick, Carly ; Vinograd, Alexandra ; Chung, Jamie ; Nguyen, Elizabeth ; Abbadessa, Mary Kate F ; Gaines, Shannon ; Chen, Aaron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-b8ac189daae83ef3fe3e9f2bb0e0859ec54fe6177da80b0b85787bb1101096153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Catheterization, Peripheral - adverse effects</topic><topic>Catheterization, Peripheral - nursing</topic><topic>Clinical Competence</topic><topic>Databases, Factual</topic><topic>Education, Nursing, Continuing</topic><topic>Emergency Service, Hospital</topic><topic>Humans</topic><topic>Inservice Training</topic><topic>Learning Curve</topic><topic>Nurse's Role</topic><topic>Pediatric Nursing - education</topic><topic>Quality Improvement</topic><topic>Quality Indicators, Health Care</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Interventional - adverse effects</topic><topic>Ultrasonography, Interventional - nursing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blick, Carly</creatorcontrib><creatorcontrib>Vinograd, Alexandra</creatorcontrib><creatorcontrib>Chung, Jamie</creatorcontrib><creatorcontrib>Nguyen, Elizabeth</creatorcontrib><creatorcontrib>Abbadessa, Mary Kate F</creatorcontrib><creatorcontrib>Gaines, Shannon</creatorcontrib><creatorcontrib>Chen, Aaron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of vascular access</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blick, Carly</au><au>Vinograd, Alexandra</au><au>Chung, Jamie</au><au>Nguyen, Elizabeth</au><au>Abbadessa, Mary Kate F</au><au>Gaines, Shannon</au><au>Chen, Aaron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2021-03</date><risdate>2021</risdate><volume>22</volume><issue>2</issue><spage>232</spage><epage>237</epage><pages>232-237</pages><issn>1129-7298</issn><eissn>1724-6032</eissn><abstract>Objectives:
To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of ultrasound-guided peripheral intravenous catheters.
Methods:
A database recorded all ultrasound-guided peripheral intravenous catheter encounters in the emergency department from November 2013 to April 2019 including the emergency department nurse attempting placement, number of attempts, and whether it was successful. Patient electronic medical records were reviewed for the time of and reason for intravenous removal.
The probabilities of first-attempt successful intravenous placement and complication at successive encounters after an initial training period were calculated. These probabilities were plotted versus encounter number to graph best-fit logarithmic regressions.
Results:
A total of 83 nurses completed a standardized training program in ultrasound-guided peripheral intravenous catheter placement including 10 supervised ultrasound-guided peripheral intravenous catheter placements. In total, 87% (3513/4053) of the ultrasound-guided peripheral intravenous catheter placed after the training program were successful on the first attempt. The probability of successfully placing an ultrasound-guided peripheral intravenous catheter increased as nurses had more experience placing ultrasound-guided peripheral intravenous catheters (R2 = 0.18) and was 83% at 10 encounters.
Twenty-five percent (904/3646) of ultrasound-guided peripheral intravenous catheters had complications, and there was no statistically significant relationship between the number of encounters per nurse and complication rates (R2 < 0.001).
Conclusion:
Nurses can reliably place ultrasound-guided peripheral intravenous catheters at a high success rate after an initial training period. First-attempt success rates were high and increased from 67% to 83% for the first 10 unsupervised encounters after training and remained high. The complication rate was low and did not change as nurses gained more experience.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32597357</pmid><doi>10.1177/1129729820937131</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1467-5995</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1129-7298 |
| ispartof | The journal of vascular access, 2021-03, Vol.22 (2), p.232-237 |
| issn | 1129-7298 1724-6032 |
| language | eng |
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| source | Sage Journals Online |
| subjects | Catheterization, Peripheral - adverse effects Catheterization, Peripheral - nursing Clinical Competence Databases, Factual Education, Nursing, Continuing Emergency Service, Hospital Humans Inservice Training Learning Curve Nurse's Role Pediatric Nursing - education Quality Improvement Quality Indicators, Health Care Retrospective Studies Ultrasonography, Interventional - adverse effects Ultrasonography, Interventional - nursing |
| title | Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department |
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