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Ultrasound Guided Peripheral Intravenous Access  

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Ultrasound Guided Peripheral Intravenous Access  

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Ultrasound has been around for a number of years. In recent years the machine has become smaller and more available. The use of ultrasound technology was reserved to ultrasound technicians and physicians but is continuoulsly not utilized by nurses. There is a new innovation in the way ultrasound technology can be utilized everyday and can be implemented into common nursing practice for patients with difficult IV access.

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Ultrasound allows for direct visualization of the vein within the patient's tissue using ultrasound waves. These have become increasing smaller and smaller which allows more healthcare workers and facilities to utilize this new technology, some as small as you smart phone.

https://www.gehealthcare.com/shop/ultrasound/vscan-extend-r2-dual-probe?utm_medium=display-banner&utm_source=google&utm_campaign=USC-PS-2021-REG-AlwaysOn&utm_te

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https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m3-curriculum/bedside-ultrasonagraphy/venous-access

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Why is Ultrasound guided IV placement important ???

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Why is Ultrasound guided IV placement important ???

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Obtaining IV placement is a critical aspect of nursing care and management of patient conditions. This becomes challenging in patients with difficult vasculature. This being dialysis patients, oncology patients, children, IV drug users, obese patients and many other reason IV access could pose a challenge. Use of ultrasound can significantly decrease time to obtain lab work, decrease time for some radiological imaging, medication interventions such as pain control and decreasing length of stay for these patients.

Davis, E. M., Feinsmith, S., Amick, A. E., Sell, J., McDonald, V., Trinquero, P., Moore, A., Gappmaier, V., Colton, K., Cunningham, A., Ford, W., Feinglass, J., & Barsuk, J. H. (2021). Difficult intravenous access in the emergency department: Performance and impact of ultrasound-guided IV insertion performed by nurses. American Journal of Emergency Medicine, 46, 539–544. https://doi-org.ezproxy.uttyler.edu/10.1016/j.ajem.2020.11.013

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WATCH IT !!!  ACTION PACKED THRILLER  PG-13 

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WATCH IT !!!  ACTION PACKED THRILLER  PG-13 

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https://www.youtube.com/watch?v=IbSnhsTxKDA

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0:00 / 8:46•Watch full video

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CoreEM Ultrasound Guided Peripheral IV Placement

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With the use of ultrasound it is common that the catheter is placed deeper within the patients tissue. The dwell times or longevity of the lines placed by ultrasound were on average 5.9 days VS standard IV placement of 3.8 days. There is also less need for Vascular Access Specialist Teams :VAST consultations meaning less PICC line placements.

Fung, C. M., Stayer, D. R., Terrasi, J. J., Shankar, P. R., Cranford, J. A., Cover, M. T., Tucker, R. V., Huang, R. D., & Theyyunni, N. (2021). Extended dwell and standard ultrasound guided peripheral intravenous catheters: Comparison of durability and reliability. American Journal of Emergency Medicine, 47, 267–273. https://doi-org.ezproxy.uttyler.edu/10.1016/j.ajem.2021.05.005

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I have experienced the numerous benefits of ultrasound but continuously hear nurses say they cannot use the ultrasound or are coming from a facility that did not have this machine. This is a life saving tool for patients that can and has changes patient outcomes. Venous access is the quickest way to see into what metabolic abnormalities are currently causing their illness. Ultrasound Iv placement is the quickest way to intervene with life saving medications during life and death situations. This is a tool that all healthcare workers who start IVs and care for patients need to have at their disposal. This ultimately is for better patient outcomes and utilization of technology that is available to change lives.

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Daniel – Discipline: Order and structure is his strong point. This will be essential on how the new innovations is implemented through out a hospital setting as well as how nurses are trained on this technology.

Randall – Responsibility: Dependable and reliable, honest and loyal. Randall will ensure that all research is evidence based and will maintain the responsibility to our patients to do no harm.

Faith – Futuristic: She can see that the potential of using this innovation could be the future of IV placement as standard practice for nurses everywhere. Her enthusiasm can inspire other to see the benefits of ultrasound technology for IV placement changing how care is delivered.

Rachel - Restorative: Problems will occur when new policies, procedures or changes in standard practice are implemented. Rachel will be a valued asset to find the issues and the various ways to resolve them.

Sheila - Strategic: She can see various ways to achieve her goal and utilize the fastest most efficient approach in its implementation.

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Jay Frost:
-Discipline. Implementation of this will take order structure and diligence to organize all the factors that arise with adopting a new technology.

-Responsibility: As nurses we have a responsibility to our patients to provide the best current up today care available. Staying up to date on technology innovations is essential to patient care.

-Harmony: This implementation will require everyone involved to function at their very best . Bringing everyone together for a common goal will be essential for successful implementation.

-Restorative: When there are issues I want to find the best way to resolve to problems. There are various challenges in healthcare and new innovations are created to solve problems. But implementing that innovation seamlessly and the most efficient way possible is key to changes in practice.

- Relator: This will be a team effort, this new implementation will not occur due to one person. Building relationships with team members will be essential to idea sharing and brainstorming new methods of implementation.

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-Time for placement increased
-Training time
-Cost of machine and supplies
-Risk of nerve or artery damage
-Complications same as standard IV insertion

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In Patients with poor vasculature:

-Decreased number of unsuccessful IV placement attempts
-Decreased time for lab results and RAD studies
-Decreased time for medications and life saving interventions
-Increased longevity of line
-Decreased need for PICC placement

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Davis, E. M., Feinsmith, S., Amick, A. E., Sell, J., McDonald, V., Trinquero, P., Moore, A., Gappmaier, V., Colton, K., Cunningham, A., Ford, W., Feinglass, J., & Barsuk, J. H. (2021). Difficult intravenous access in the emergency department: Performance and impact of ultrasound-guided IV insertion performed by nurses. American Journal of Emergency Medicine, 46, 539–544. https://doi-org.ezproxy.uttyler.edu/10.1016/j.ajem.2020.11.013

Fung, C. M., Stayer, D. R., Terrasi, J. J., Shankar, P. R., Cranford, J. A., Cover, M. T., Tucker, R. V., Huang, R. D., & Theyyunni, N. (2021). Extended dwell and standard ultrasound guided peripheral intravenous catheters: Comparison of durability and reliability. American Journal of Emergency Medicine, 47, 267–273. https://doi-org.ezproxy.uttyler.edu/10.1016/j.ajem.2021.05.005

Image retrieved from:
Venous access. Default. (n.d.). Retrieved May 24, 2022, from https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-educ

YouTube. (2021, July 1). Coreem ultrasound guided Peripheral IV placement. YouTube. Retrieved May 24, 2022, from https://www.youtube.com/watch?v=IbSnhsTxKDA

Image retrieved from:
Vscan Dual Probe. GE Healthcare Systems. (n.d.). Retrieved May 24, 2022, from https://www.gehealthcare.com/shop/ultrasound/vscan-extend-r2-dual-probe?utm_medium=display-banner&utm_source=google&utm_campaign=USC-PS-2021-REG-AlwaysOn&utm_term=paid&utm_content=vscan&npclid=Cj0KCQjwhLKUBhDiARIsAMaTLnESZ3Moh362K79-iGzLOPE17oT8XNtpB5dUZB6VdFM5WbR9AgPeuawaAjK6EALw_wcB&gclid=Cj0KCQjwhLKUBhDiARIsAMaTLnESZ3Moh362K79-iGzLOPE17oT8XNtpB5dUZB6VdFM5WbR9AgPeuawaAjK6EALw_wcB