Start Date

5-28-2020 11:00 AM

End Date

5-28-2020 12:00 PM

Description

With an aging population, the rate of obesity, the regional prevalence of dialysis patients and the increase in IV drug abuse, obtaining routine vascular access in the emergency department (ED) has become more challenging. Ultrasound (US) guided IV placement has been pivotal in identifying deeper veins to access. This is traditionally performed by ED physicians, however given the time constraints, lower acuity patients who require US IV access can experience significant delays to care. We attempted to train ED nurses to perform this skill, however many trained nurses are still not attempting US IVs regularly. This study aimed to identify barriers to ED nurse performed US IV attempts.

Keywords

ultrasound, IV placement

Comments

Presented at the 2020 House Staff Quality Improvement and Patient Safety Conference

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May 28th, 11:00 AM May 28th, 12:00 PM

Obstacles to Nurse-Performed Ultrasound Guided Peripheral IV Placement

With an aging population, the rate of obesity, the regional prevalence of dialysis patients and the increase in IV drug abuse, obtaining routine vascular access in the emergency department (ED) has become more challenging. Ultrasound (US) guided IV placement has been pivotal in identifying deeper veins to access. This is traditionally performed by ED physicians, however given the time constraints, lower acuity patients who require US IV access can experience significant delays to care. We attempted to train ED nurses to perform this skill, however many trained nurses are still not attempting US IVs regularly. This study aimed to identify barriers to ED nurse performed US IV attempts.