Proposal
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