Procedural competency for ultrasound-guided peripheral intravenous catheter insertion for nurses in a pediatric emergency department

• DOI: 10.1177/1129729820937131
• Publication Date: 2020-06-27T10:19:46Z
• Authors: Carly Blick; Alexandra Vinograd; Jamie Chung; Elizabeth Nguyen; Mary Kate F Abbad...; Shannon Gaines; Aaron Chen
• Keywords: Inservice Training; Databases, Factual; Nurse's Role; Quality Improvement; Pediatric Nursing; 3. Good health; 03 medical and health sciences; Education, Nursing, Continuing; 0302 clinical medicine; Catheterization, Peripheral; Humans; Clinical Competence; Emergency Service, Hospital; Learning Curve; Ultrasonography, Interventional; Quality Indicators, Health Care; Retrospective Studies

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 catheters.A database recorded all encounters the emergency department from November 2013 April 2019 including nurse attempting placement, number attempts, and whether it successful. Patient electronic medical records were reviewed for time reason removal.The probabilities first-attempt successful at successive period calculated. These plotted versus encounter graph best-fit logarithmic regressions.A total 83 completed standardized program 10 supervised placements. In total, 87% (3513/4053) placed on first attempt. The probability successfully placing increased as had more experience catheters (R2 = 0.18) 83% encounters.Twenty-five percent (904/3646) complications, there no statistically significant relationship between per < 0.001).Nurses place First-attempt 67% unsupervised remained high. low did not change gained experience.