Proposal
Neuro Critical Care- Proposed Total:
11-12
15 Trained Staff
3 Preceptors
6 Working on Competency Checklist
55 U/S PIV per month
MICU- Proposed Total:
9-10
14 Trained Staff
9 Working on Competency Checklist
40.6 U/S PIV per month
South Jordan ED- Propose Total:
11-12
13 Trained Staff
50+ U/S PIV per month
Main ED- Proposed Total:
Approximately 75 Trained Staff
HICU- Proposed Total:
15-20
6 Trained Staff
1-2 working on competency checklist
75-100 U/S PIV per month
Huntsman Fast Track- Proposed Total:
6-8
2 Trained Staff
30-40 U/S PIV per month
Program Recommendations
Identified Staff
RNs, MAs, EMTs, or Paramedics with 1 Year of Experience
Manager Recommendation
Fill out application
If application is approved, Critical Care NPDP Lead
will reach out to employee, manager, CNC, and NPDP
to set up a class.
Staff attend class
PowerPoint Presentation
Looking at each others veins with U/S
Practice on U/S Guided IV Trainer Phantom
Classes scheduled as needed
Initial Competency
20 insertions with ED Paramedics or VAT
Unit pays for time for both unit staff and preceptor
Vascular Access Team
Preceptor List
ED/Paramedics
Pulse Tile Form
LMS Checklist (work with Alissa Brown)
Preceptors will sign off each of the initial 20 insertions
Monthly Competency
Average 5 insertions per month
Verified by unit NPDP spotcheck
Content
Indications for U/S PIV
Two unsuccessful PIV attempts by palpation
Veins not visible by palpation
Obese/ edematous patients
Dehydration
Contraindications
Phlebitis
AV Fistula in extremity
Hx of Breast Cancer/ Node Removal
Trauma to limb
Burns
Equipment Needed
Physician Order
Ultrasound Machine
Have pictures of Ultrasound
machines from different units
Needles
18 G x 1.88"
20 G x 1.88"
U/S Gel
Single use packet
Towel
Veins vs Arteries
Show Examples
Veins "wink"
Arteries don't collapse when compressed
Critical Thinking
When should I call VAT vs trying to place U/s PIV
Hx of difficult venous access
U/S PIV Pulse Tile
Application
Name
Unit
Manager Approval
Why do you want to be trained?
How long have you been employed
on your unit?
Application gets sent to
Critical Care NPDP lead for approval
ED Pulse Tile
VAT Contact List
List also given in class
Resources
Add content/PP Presentaiton
Tips and Tricks Sheet