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Recommended Citation
Noe R, Ramsey L, Brown H, Fearing Tisera E, Bruno Smith L, Pappaterra N. Peripheral IV Catheter Education... Did it Stick?. Professional Development poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Professional Development poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background/Introduction
While peripheral intravenous catheter (PIVC) insertion is a common procedure, literature states most nurses do not have formal training in school or clinical practice opportunities on this skill. When performed incorrectly, PIVC insertion has negative implications including increased length of stay, poor patient outcomes, and inflated costs. On average, the Vascular Access Team (VAT) completes 1,200 consults per month and the turnaround time is 2h 42m, leading to delays in care.
Purpose
This activity's intent was to implement a tiered educational approach to improve adult inpatient nurses' knowledge and skills on PIVC placement; thus, decreasing VAT consults and delays in patient care.
Method
An interprofessional team performed a gap analysis and utilized a fishbone diagram to identify related barriers to PIVC insertion. After reviewing evidence, a tiered educational approach mimicking Benner’s Novice to Expert framework was selected. VAT utilization data narrowed the focus to five units, and a convenience sample of nurses was included. All learners completed an online learning module. A narrowed focus group then received additional hands-on education via simulation. Lastly, key nurses received intentional clinical practice experiences in high volume areas. VAT data was compared pre- and post- intervention.
Results
Ninety-four percent of learners reported increased confidence with PIVC insertion following simulation. Informal feedback from clinical experiences was overwhelmingly positive. Results revealed 4 out of 5 units had a reduction in VAT consults demonstrating the retention of knowledge gained and successful practice. PIVC insertion by the bedside nurse versus VAT prevents delays in care and results in cost avoidance of $490 per patient.
Implications for Practice
With continued education, anticipated results include decreased VAT consults, delays, and costs. This professional development activity proves education empowers nurses to operate at their highest scope. A tiered education design could be used for other complex psychomotor skills.
References
Glover, K. R., Stahl, B., Murray, C., LeClair, M., Gallucci, S., King, M. A., Labrozzi, L. J., Schuster, C., & Keleekai, N. (2017). A simulation-based blended curriculum for short peripheral intravenous catheter insertion: An industry-practice collaboration. The Journal of Continuing Education in Nursing, 48(9), 397-406.
Jacobs, L. (2022). Peripheral intravenous catheter insertion competence and confidence in medical/surgical nurses. Journal of Infusion Nursing, 45(6), 306-319.
Onder, H. E., & Sari, D. (2021). Simulation-based teaching is effective in developing peripheral intravenous catheterization skills. International Journal of Caring Sciences, 14(1), 309-318.
Vandenhouten, C. L., Owens, A. K., Hunter, M. R., & Raynak, A. (2020). Peripheral intravenous education in North American schools: A call to action. Journal of Nursing Education, 59(9), 493-500.
Document Type
Poster
Publication Date
11-13-2024
Peripheral IV Catheter Education... Did it Stick?
Background/Introduction
While peripheral intravenous catheter (PIVC) insertion is a common procedure, literature states most nurses do not have formal training in school or clinical practice opportunities on this skill. When performed incorrectly, PIVC insertion has negative implications including increased length of stay, poor patient outcomes, and inflated costs. On average, the Vascular Access Team (VAT) completes 1,200 consults per month and the turnaround time is 2h 42m, leading to delays in care.
Purpose
This activity's intent was to implement a tiered educational approach to improve adult inpatient nurses' knowledge and skills on PIVC placement; thus, decreasing VAT consults and delays in patient care.
Method
An interprofessional team performed a gap analysis and utilized a fishbone diagram to identify related barriers to PIVC insertion. After reviewing evidence, a tiered educational approach mimicking Benner’s Novice to Expert framework was selected. VAT utilization data narrowed the focus to five units, and a convenience sample of nurses was included. All learners completed an online learning module. A narrowed focus group then received additional hands-on education via simulation. Lastly, key nurses received intentional clinical practice experiences in high volume areas. VAT data was compared pre- and post- intervention.
Results
Ninety-four percent of learners reported increased confidence with PIVC insertion following simulation. Informal feedback from clinical experiences was overwhelmingly positive. Results revealed 4 out of 5 units had a reduction in VAT consults demonstrating the retention of knowledge gained and successful practice. PIVC insertion by the bedside nurse versus VAT prevents delays in care and results in cost avoidance of $490 per patient.
Implications for Practice
With continued education, anticipated results include decreased VAT consults, delays, and costs. This professional development activity proves education empowers nurses to operate at their highest scope. A tiered education design could be used for other complex psychomotor skills.
References
Glover, K. R., Stahl, B., Murray, C., LeClair, M., Gallucci, S., King, M. A., Labrozzi, L. J., Schuster, C., & Keleekai, N. (2017). A simulation-based blended curriculum for short peripheral intravenous catheter insertion: An industry-practice collaboration. The Journal of Continuing Education in Nursing, 48(9), 397-406.
Jacobs, L. (2022). Peripheral intravenous catheter insertion competence and confidence in medical/surgical nurses. Journal of Infusion Nursing, 45(6), 306-319.
Onder, H. E., & Sari, D. (2021). Simulation-based teaching is effective in developing peripheral intravenous catheterization skills. International Journal of Caring Sciences, 14(1), 309-318.
Vandenhouten, C. L., Owens, A. K., Hunter, M. R., & Raynak, A. (2020). Peripheral intravenous education in North American schools: A call to action. Journal of Nursing Education, 59(9), 493-500.
Affiliations
Carolinas Medical Center