Proposal

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Extracorporeal Membrane Oxygenation (ECMO) by Jared Bienstock, MS, CCP, LP, CES-A Copyright © 2021 (All Rights Reserved)

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U/S PIV Pulse Tile

Resources

Tips and Tricks Sheet

Add content/PP Presentaiton

VAT Contact List

List also given in class

ED Pulse Tile

Application

Application gets sent to Critical Care NPDP lead for approval

How long have you been employed on your unit?

Why do you want to be trained?

Manager Approval

Unit

Name

Content

Critical Thinking

When should I call VAT vs trying to place U/s PIV

Hx of difficult venous access

Veins vs Arteries

Arteries don't collapse when compressed

Veins "wink"

Show Examples

Equipment Needed

Towel

U/S Gel

Single use packet

Needles

20 G x 1.88"

18 G x 1.88"

Ultrasound Machine

Have pictures of Ultrasound machines from different units

Physician Order

Contraindications

Burns

Trauma to limb

Hx of Breast Cancer/ Node Removal

AV Fistula in extremity

Phlebitis

Indications for U/S PIV

Dehydration

Obese/ edematous patients

Veins not visible by palpation

Two unsuccessful PIV attempts by palpation

Program Recommendations

Monthly Competency

Average 5 insertions per month

Verified by unit NPDP spotcheck

Initial Competency

LMS Checklist (work with Alissa Brown)

Preceptors will sign off each of the initial 20 insertions

ED/Paramedics

Pulse Tile Form

Vascular Access Team

Preceptor List

20 insertions with ED Paramedics or VAT

Unit pays for time for both unit staff and preceptor

Staff attend class

Classes scheduled as needed

Practice on U/S Guided IV Trainer Phantom

Looking at each others veins with U/S

PowerPoint Presentation

Identified Staff

If application is approved, Critical Care NPDP Lead will reach out to employee, manager, CNC, and NPDP to set up a class.

Fill out application

Manager Recommendation

RNs, MAs, EMTs, or Paramedics with 1 Year of Experience

Proposal

Huntsman Fast Track- Proposed Total: 6-8

30-40 U/S PIV per month

2 Trained Staff

HICU- Proposed Total: 15-20

75-100 U/S PIV per month

1-2 working on competency checklist

6 Trained Staff

Main ED- Proposed Total:

Approximately 75 Trained Staff

South Jordan ED- Propose Total: 11-12

50+ U/S PIV per month

Across ED and other departments

13 Trained Staff

MICU- Proposed Total: 9-10

40.6 U/S PIV per month

9 Working on Competency Checklist

14 Trained Staff

Neuro Critical Care- Proposed Total: 11-12

55 U/S PIV per month

6 Working on Competency Checklist

15 Trained Staff

3 Preceptors