Categorie: Tutti - application - training - staff - checklist

da Adam Young manca 1 anno

78

Proposal

A structured training program has been designed to enhance the skills of RNs, MAs, EMTs, and Paramedics with at least one year of experience. Upon approval of applications by the Critical Care NPDP lead, selected staff members and their managers will coordinate to schedule the necessary classes.

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