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1. Andrew (Activator): In order for change to take place, a member of the team whose strength is influencing is imperative. Activators are known to be fire starters and those who take on new projects with no fear. Often when technology is involved, there is hesitancy and Andrew will be paramount to ensure those that are apprehensive of this project see the benefits of the innovation.
2. David (Deliberative): Though we live in the age of technology and so many of our interventions and diagnostics rely on technology, there is still many barriers to implementing into the healthcare setting. David would be needed on this team to anticipate the obstacles that we will face so we can ensure those perceived barriers are addressed during the presentation of this project.
3. Carols (Context): Though this innovation is not currently used, Carol will help the team in learning from past and focusing not repeating mistakes from previous implementations. Her strength in researching the past so that we know how the present will come is going to be integral on this team with this project.
4. Chloe (Competition): Chloe will present the tenacity and drive this team needs to be successful. Her drive to win will be infectious and will carry this team when it seems the barriers outweigh the successes.
5. Angelica (Analytical): Angelica will ensure that all aspects of the project is identified. She has the ability to and is comfortable with addressing the reasons and cause. Someone that can analyze the situation at hand will assist the team and project in strategic planning and developing all steps that will need to be taken from planning to implementation.

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POCUS, point of care ultrasound, devices are becoming the thing of the future. Gone is the time of providers having to wait in PACU, ED or ICU at the patient's bedside to visualize the ultrasound image they ordered once the radiology tech arrives. The Butterfly iQ allows the mobile device of a provider to become the screen of the ultrasound.

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Pros:
- Early diagnostics, which leads to early interventions and lifesaving measures in emergency settings (ICU, ED and PACU)
- Ease of use and availability
- Utilizes mobile device for screen
- Less expensive than larger ultrasound devices
- Convenient
- Decrease wait time
- Point of care usage
- Training providers receive in areas widely used
- Small size is convenient when space is limited (in trauma or code situations)

Cons:
- Training required
- Cost associated, though less than traditional US devices
- Need for increased technology (ie: if provider does not have a smart phone)
- Infection prevention concerns; due to the use of mobile devices and not
- Limitations on uses when constant US image is required (peripheral nerve blocks)
- Useful for providers; nurses not already trained in US would need training to use
- Decreased image acuity due to technology being a smaller device

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https://youtu.be/ytPMpxtgKrs

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Restorative    Belief    Achiever    Responsibility    Developer

The strengths I possess are important for the implementation of this innovation because no matter what, I will ensure that a process is evaluated and revised for everyone involved to be successful and the patient be on the receiving end of the outcome. Due to my restorative strength, I have a strong commitment for other's success. The time spend on this innovation will be dedicated to not only working hard, but also finding the value in the quality and excellence other members bring their strengths to the team.

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Point of Care Ultrasound Evaluation in the Postanesthesia Unit: A Multicenter Prospective Observational Study (abstractsonline.com)
- American Society of Anesthesiology, October 2019

A comparison of handheld ultrasound versus traditional ultrasound for acquisition of RUSH views in healthy volunteers (nih.gov)
Journal of the American College of Emergency Physicians Open, December 2020

Ultrasound Hypotension Protocol Time-motion Study Using the Multifrequency Single Transducer Versus a Multiple Transducer Ultrasound Device (escholarship.org)
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 2021

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This innovative device has the potential to transform not only the ability to quickly diagnose patients and allow providers to ensure timely, lifesaving interventions, but also allow nursing the ability to add this device to assist in their assessments. Nursing is know for expanding roles and in some critical areas, nurses are already trained to utilize the ultrasound to insert peripheral intravenous catheters, so why not utilize a handheld ultrasound to further their assessment skills?

The profession of nursing is adaptable and transformative in many ways. Utilizing a device that can help them take a deeper dive into their patient assessments to better advocate to their providers has the potential to improve patient outcomes. Along with patient outcomes, an additional skill taught to nurses, even if its only specialty nurses, will assist nurses become more autonomous in their field and practice.