Focused Simulation Training: Emergency Department Nurses’ Confidence and Comfort Level in Performing Ultrasound-Guided Vascular Access

Adhikari, Srikar; Schmier, Charles; Marx, Jared

doi:10.5301/jva.5000436

Cited by 29 publications

(34 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A simulated training session could also focus on sterility and aseptic techniques without consequences for the patient [24,27]. According to Adhikari et al practitioners had a high level of comfort using ultrasound for intravenous cannulation after a focused simulation training session, resulting in the accurate identification of the vascular anatomy and performing ultrasound-guided vascular access [34].…”

Section: Hands-on Trainingmentioning

confidence: 99%

“…Additional provisions Keeping a log or data collection form can provide support in demonstrating competency, in which the formulated final objective can be leading [16][17][18]34]. Competency can be determined with testing of the practitioners before and after the training [16,17,20].…”

Section: Life-case Trainingmentioning

confidence: 99%

“…Competency can be determined with testing of the practitioners before and after the training [16,17,20]. Duration of training varied between the included studies, from two hours until multiple days [10,17,22,23,34]. Didactic session duration ranged between 30 minutes up to 3 hours [10,14,15,18,20,[24][25][26][27]29,34].…”

Section: Life-case Trainingmentioning

confidence: 99%

See 2 more Smart Citations

Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

et al. 2019

View full text Add to dashboard Cite

Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum. The current systematic literature review aims to explore different training modules and components in use, and its efficacy and efficiency in ultrasound-guided peripheral intravenous cannulation in hospitalized adults by different healthcare providers. Database search was performed from January 2009 to December 2018 for publications describing the training or education of healthcare professionals in ultrasound-guided peripheral intravenous cannulation in adult patients. Data-analyses was performed on 23 studies, concluding that competency on ultrasound-guided peripheral intravenous cannulation can be achieved after following a brief training in a fixed curriculum, consisting of a didactic training session, a simulated hands-on component, and is completed after a supervised live-case training. Lectures should focus on ultrasound physics, including the vascular anatomy. The hands-on training included identification of veins on a life model without cannulating, followed by cannulation of veins using a nonhuman tissue model. At the end, supervised cannulation of veins on the upper extremity with an ultrasound-guided technique was performed on live patients to show competency.

show abstract

Section: Hands-on Trainingmentioning

confidence: 99%

Section: Life-case Trainingmentioning

confidence: 99%

See 1 more Smart Citation

Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

et al. 2019

View full text Add to dashboard Cite

show abstract

“…60 More recently, educators are using HF more overtly in addressing procedures 61 and also indirectly through the measurement of learner cognitive load during the training process. 29,30 Investigators have utilized HFA to approach simulation-based training and assessment of procedures, including intraosseous line insertion, 62 epistaxis management, 63 bag-valve-mask ventilation, 64 intravenous catheter insertion, 65 emergency ultrasound technique, 66 and central venous catheter placement.…”

Section: Hf In Emmentioning

confidence: 99%

Human Factors and Simulation in Emergency Medicine

Hayden

Wong

Ackerman

et al. 2017

Academic Emergency Medicine

View full text Add to dashboard Cite

This consensus group from the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes" held in Orlando, Florida, on May 16, 2017, focused on the use of human factors (HF) and simulation in the field of emergency medicine (EM). The HF discipline is often underutilized within EM but has significant potential in improving the interface between technologies and individuals in the field. The discussion explored the domain of HF, its benefits in medicine, how simulation can be a catalyst for HF work in EM, and how EM can collaborate with HF professionals to effect change. Implementing HF in EM through health care simulation will require a demonstration of clinical and safety outcomes, advocacy to stakeholders and administrators, and establishment of structured collaborations between HF professionals and EM, such as in this breakout group.

show abstract

“…Also, with a short distance to the heart, external jugular veins have high velocity of blood flow, which is conducive to the thinning of drug, reducing irritation to the blood vessels. Cases of using indwelling needle puncture through external jugular veins to establish fast intravenous channel in pre-hospital emergency treatment, patients with microcirculation failure induced by various factors and ICU patients have been reported [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Su¹,

Guo²,

Weitao³

et al. 2019

AJIM

View full text Add to dashboard Cite

The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.

show abstract

Focused Simulation Training: Emergency Department Nurses’ Confidence and Comfort Level in Performing Ultrasound-Guided Vascular Access

Abstract: After a focused simulation training session, ED nurses had a high level of comfort using ultrasound for vascular access. Despite having a moderate degree of confidence, ED nurses were accurate in identifying vascular anatomy and performing ultrasound-guided vascular access.

Cited by 29 publications

References 34 publications

Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

Human Factors and Simulation in Emergency Medicine

Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Contact Info

Product

Resources

About