scholarly journals Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

2019 ◽  
Vol 21 (4) ◽  
pp. 464 ◽  
Author(s):  
Fredericus HJ Van Loon ◽  
Harm J Scholten ◽  
Irene Van Erp ◽  
Arthur RA Bouwman ◽  
Angelique TM Dierick Van Daele
Keyword(s):  
Healthcare Providers ◽  
Training Session ◽  
Vascular Anatomy ◽  
Ultrasound Guided ◽  
Or Education ◽  
Brief Training ◽  
Hands On ◽  
Life Model ◽  
Training Modules ◽  
And Training

Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum. The current systematic literature review aims to explore different training modules and components in use, and its efficacy and efficiency in ultrasound-guided peripheral intravenous cannulation in hospitalized adults by different healthcare providers. Database search was performed from January 2009 to December 2018 for publications describing the training or education of healthcare professionals in ultrasound-guided peripheral intravenous cannulation in adult patients. Data-analyses was performed on 23 studies, concluding that competency on ultrasound-guided peripheral intravenous cannulation can be achieved after following a brief training in a fixed curriculum, consisting of a didactic training session, a simulated hands-on component, and is completed after a supervised live-case training. Lectures should focus on ultrasound physics, including the vascular anatomy. The hands-on training included identification of veins on a life model without cannulating, followed by cannulation of veins using a nonhuman tissue model. At the end, supervised cannulation of veins on the upper extremity with an ultrasound-guided technique was performed on live patients to show competency.

Ultrasound-based simulation for cannulation in outpatient hemodialysis units: An educational protocol

2019 ◽  
pp. 112972981989153 ◽  
Author(s):  
Vandana Dua Niyyar
Keyword(s):  
United States ◽  
Point Of Care ◽  
The United States ◽  
Hemodialysis Access ◽  
Ultrasound Guided ◽  
Ultrasound Exposure ◽  
Hands On ◽  
Diagnostic Capabilities ◽  
And Training ◽  
Dialysis Staff

Portable ultrasounds are often referred to as the “new stethoscope.” Their portability and affordability have led to improved diagnostic capabilities at the point of care in virtually every field of medicine, and hemodialysis access is no exception. However, though ultrasonography is increasingly used throughout the spectrum of hemodialysis access, its role in outpatient dialysis units in the United States has been limited so far. This may, in part, be due to limited ultrasound exposure, knowledge, and training of dialysis staff. This article details an educational protocol including hands-on simulation for training dialysis technicians and nurses in ultrasound-guided cannulation techniques.

Hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous catheter placement

2018 ◽  
Vol 20 (3) ◽  
pp. 301-306 ◽  
Author(s):  
Ryan J Good ◽  
Kelly K Rothman ◽  
Daniel J Ackil ◽  
John S Kim ◽  
Jonathan Orsborn ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Motion Analysis ◽  
Training Session ◽  
Procedure Time ◽  
Ultrasound Guided ◽  
Intravenous Catheter ◽  
Hand Motion ◽  
Nursing Competence ◽  
Hands On ◽  
Peripheral Intravenous Catheter

Introduction: Objective measures such as hand motion analysis are needed to assess competency in technical skills, including ultrasound-guided procedures. Ultrasound-guided peripheral intravenous catheter placement has many potential benefits and is a viable skill for nurses to learn. The objective of this study was to demonstrate the feasibility and validity of hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous placement. Methods: We conducted a prospective cohort study at a tertiary children’s hospital. Participants included a convenience sample of nurses with no ultrasound-guided peripheral intravenous experience and experts in ultrasound-guided peripheral intravenous placement. Nurses completed hand motion analysis before and after participating in a simulation-based ultrasound-guided peripheral intravenous placement training program. Experts also completed hand motion analysis to provide benchmark measurements. After training, nurses performed ultrasound-guided peripheral intravenous placement in clinical practice and self-reported details of attempts. Results: A total of 21 nurses and 6 experts participated. Prior to the hands-on training session, experts performed significantly better in all hand motion analysis metrics and procedure time. After completion of the hands-on training session, the nurses showed significant improvement in all hand motion analysis metrics and procedure time. Few nurses achieved hand motion analysis metrics within the expert benchmark after completing the hands-on training session with the exception of angiocatheter motion smoothness. In total, 12 nurses self-reported 38 ultrasound-guided peripheral intravenous placement attempts in clinical practice with a success rate of 60.5%. Discussion: We demonstrated the feasibility and construct validity of hand motion analysis as an objective assessment of nurse competence in ultrasound-guided peripheral intravenous placement. Nurses demonstrated rapid skill acquisition but did not achieve expert-level proficiency.

Making the point? The audiovisual/digital media dissertation

2014 ◽  
Vol 6 (1) ◽  
pp. 98-118
Author(s):  
Coral Houtman ◽  
Maureen Thomas ◽  
Jennifer Barrett
Keyword(s):  
Digital Media ◽  
Film Theory ◽  
Education And Training ◽  
Content Type ◽  
Hands On ◽  
Practice Based Research ◽  
The University ◽  
Depth Interviews ◽  
And Training ◽  
Practical Recommendations

Purpose – The purpose of this paper is to address the advantages of education and training in creating the “Audiovisual/Digital Media Essay” (AV/DME), starting from visual and cinematic thinking as a way of setting up, developing and concluding an argument. Design/methodology/approach – Recognising the advantages to education and training of the “AV/DME” this paper explores ways of enabling visually disciplined students to work on film theory within their chosen medium, and to develop arguments incorporating audiovisual sources, using appropriate academic skills. It describes a hands-on BA/MA workshop held at Newport Film School (May 2011) and subsequent initial implementation of an examinable DME. The paper contextualises the issue in the light of practice-led and practice-based research and of parity with written dissertations. Drawing on analysis of in-depth interviews with students and tutors, it makes practical recommendations for how to resource, staff and support the implementation and continuation of the AV/DME and/or dissertation. Findings – The paper feeds back from both students and staff on the running of an initial AV/DME workshop and finds that the Film School Newport is suited to running the AV/DME and suggests a framework for its support. Research limitations/implications – The study needs to be followed up when the students complete their full dissertations. Practical implications – The AV/DME needs sufficient technical and human resources to support student learning. Originality/value – The paper provides a clear and original framework for teaching, supporting and assessing the AV/DME. This framework can be disseminated beyond the University of Wales Newport, and can be used to teach the AV/DME in further contexts and to wider groups of students.

First-Attempt Success Rate of Ultrasound-Guided Peripheral IV Access using a Handheld Ultrasound Machine in a Simulation Model

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S30-S34
Keyword(s):  
Simulation Model ◽  
Success Rate ◽  
Training Session ◽  
Confidence Score ◽  
Ultrasound Guided ◽  
Emergency Nurses ◽  
Handheld Ultrasound ◽  
Kolmogorov Smirnov ◽  
Application Data ◽  
Time Required

Background: Although peripheral Intravenous (IV) cannulation is a routine procedure performed by nurses, IV access can be difficult to achieve, particularly in emergency patients who have critical illnesses. Ultrasound is used in this procedure to increase the success rate in novice practitioners. Objective: We aimed to determine the first-attempt success rate of ultrasound-guided peripheral IV (USGPIV) performed by emergency nurses in simulation model after having undergone training in the procedure. Materials and Methods: This was prospective descriptive study. The participants consisted of 61 emergency nurses at Srinagarind Hospital Emergency Department from January to April 2020. USGPIV cannulation training was provided by an emergency physician who is also a specialist in emergency ultrasound. After training, we calculated the number of attempts and time required to successfully complete USGPIV in a simulation model. Following this, participants responded to a questionnaire to evaluate their confidence in performing the procedure, as well as its feasibility and practical application. Data were analyzed using a Kolmogorov-Smirnov test, and p<0.05 was considered to be significant. Results: Sixty-one emergency nurses were included. The first-attempt success rate of USGPIV was 85.25% (95% CI 0.761, 0.944), and the mean time required was 47.33+4.89 sec. (95% CI 37.547, 57.103). Fifty-nine participants (96.72%) completed the questionnaire. All items had a mean score of greater than 3 points, with confidence score being the highest. Conclusion: Emergency nurses with no previous experience with USGPIV were able to perform a simulated version of the procedure with a high first-attempt success rate after a short training session. Further studies should be conducted to evaluate nurses’ USGPIV competency in real patients. Keywords: Ultrasound, Peripheral IV cannulation, Emergency medicine, Emergency nurse

Game-Based Augmented Visual Feedback for Enlarging Speech Movements in Parkinson's Disease

2017 ◽  
Vol 60 (6S) ◽  
pp. 1818-1825 ◽  
Author(s):  
Yana Yunusova ◽  
Elaine Kearney ◽  
Madhura Kulkarni ◽  
Brandon Haworth ◽  
Melanie Baljko ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Speech Intelligibility ◽  
Training Session ◽  
Working Space ◽  
Retention Session ◽  
Tongue Movements ◽  
Impaired Speech ◽  
And Training

Purpose The purpose of this pilot study was to demonstrate the effect of augmented visual feedback on acquisition and short-term retention of a relatively simple instruction to increase movement amplitude during speaking tasks in patients with dysarthria due to Parkinson's disease (PD). Method Nine patients diagnosed with PD, hypokinetic dysarthria, and impaired speech intelligibility participated in a training program aimed at increasing the size of their articulatory (tongue) movements during sentences. Two sessions were conducted: a baseline and training session, followed by a retention session 48 hr later. At baseline, sentences were produced at normal, loud, and clear speaking conditions. Game-based visual feedback regarding the size of the articulatory working space (AWS) was presented during training. Results Eight of nine participants benefited from training, increasing their sentence AWS to a greater degree following feedback as compared with the baseline loud and clear conditions. The majority of participants were able to demonstrate the learned skill at the retention session. Conclusions This study demonstrated the feasibility of augmented visual feedback via articulatory kinematics for training movement enlargement in patients with hypokinesia due to PD. Supplemental Materials https://doi.org/10.23641/asha.5116840

scholarly journals Military trainees can accurately measure optic nerve sheath diameter after a brief training session

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Joseph Betcher ◽  
Torben K. Becker ◽  
Peter Stoyanoff ◽  
Jim Cranford ◽  
Nik Theyyunni
Keyword(s):  
Optic Nerve ◽  
Training Session ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Brief Training ◽  
Nerve Sheath

scholarly journals Development and application of a swine model for training ultrasonography-guided central venous access

2020 ◽  
Vol 47 ◽  
Author(s):  
JACKSON VINÍCIUS DE LIMA BERTUOL ◽  
NATASHA LURE BUENO CAMARGO ◽  
FERNANDO ANTONIO CAMPELO SPENCER NETTO ◽  
ANDRÉ PEREIRA WESTPHALEN
Keyword(s):  
Porcine Model ◽  
Low Cost ◽  
Central Venous Access ◽  
Training Session ◽  
Hospital Setting ◽  
Venous Access ◽  
Human Anatomy ◽  
Swine Model ◽  
Central Venous ◽  
Hands On

ABSTRACT Introduction: simulation based teaching is a powerful tool in medical education, allowing hands on practice under a controlled environment and with repeated maneuvers. Central venous access venipuncture is one of the most frequent procedures carried out in the hospital setting, due to its various clinical indications and, when performed with the help of ultrasonography, the risk of adverse events is minimized. Aim: to develop, to describe and to test a porcine model that simulates the central venous access puncture aided by ultrasonography. Method: a low cost porcine model was developed to train medical students and residents on central venous access guided by ultrasonography. Both students and medical residents underwent a theoretical training regarding the model, followed by a hands-on training session. Afterwards, the participants assessed the model by answering a questionnaire. Results: there were 51 participants. The average score regarding the similarity between the model and the human anatomy was 9.15. When the characteristics were separately assessed, the mean scores regarding the similarity of the vessels, anatomic disposition and ultrasonographic characteristics as well as the venipuncture were, respectively, 9.27; 9.31; 9.54 and 8.86. Conclusion: The model was approved and considered appropriate for the training of central venous venipuncture by all the participants. Furthermore, it is a low cost, simple and reproducible model, that presents high similarity with the human anatomy. Therefore, it may be used as an aid to train people on ultrasonography guided central venous access.

scholarly journals Methods of teaching gymnastic exercises to students engaged in sports aerobics

2020 ◽  
Vol 6 (3) ◽  
pp. 9
Author(s):  
T.M. Kravchuk ◽  
S.A. Bybel ◽  
O.O. Slastina ◽  
A.I. Kovalenko
Keyword(s):  
Educational Institutions ◽  
Institutions Of Higher Education ◽  
Literature Analysis ◽  
Expert Evaluation ◽  
High Angle ◽  
Training Process ◽  
Hands On ◽  
Physical Abilities ◽  
Experimental Group ◽  
And Training

<p><strong>The </strong><strong>aim</strong> - to substantiate and experimentally test the method of teaching gymnastic exercises to students engaged in sports aerobics. </p><p><strong>Material and methods.</strong> The study involved 20 students of Kharkiv institutions of higher education engaged in sports aerobics in groups of sports improvements. At the time of the experiment, the subjects were 17 to 20 years old. <em>Method of research.</em> Theoretical analysis and generalization of scientific and methodological literature; analysis of rules and videos of competitions; pedagogical experiment; expert evaluation; methods of mathematical statistics. </p><p><strong>Results.</strong> As a result of the study, a method of teaching and improving the technique of performing gymnastic exercises for students of higher educational institutions specializing in sports aerobics was developed. It is proved that the introduction in the educational and training process of students engaged in sports aerobics, special exercises that gradually lead to the implementation of gymnastic elements, and at the same time partially develop the necessary physical abilities contribute to their more effective assimilation and improvement. In particular, the execution quality control all gymnastic exercises (emphasis angle flairs out with 360° rotation; emphasis high angle; planche apart the legs; sagittal balance with the grip on the leg and rotate 360°; libel spin with the prop hands on the floor) in the experimental group, unlike the control, increased on average by 50%. </p><p><strong>Conclusions.</strong> Thus, the paper highlights the main groups of gymnastic elements provided by the current rules of competition in sports aerobics. The method of training students specializing in sports aerobics to perform these elements is developed. Experimental verification of the effectiveness of the developed technique was carried out.</p>

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