Point-of-Care Ultrasound for Central Line Procedures in Neonates

POSTER

Point-of-care ultrasound for central line procedures in neonates Alysha Jenkins, MSN, APRN, NNP-BC, DNP Student KEY FINDINGS More ultrasound education and training is needed for NICU providers NICUs need to develop protocols and criteria prior to implementing a point-of-care ultrasound program Point-of-care ultrasound is challenging to use in neonates for central line procedures PURPOSE • Provide education and training about point-of-care ultrasound for central line procedures in neonates Interest in using point-of-care ultrasound Strongly Agree (80%) Agree (20%) • Increase the usage of point-of-care ultrasound for central line procedures in NICUs along the Wasatch Front Education/training (55%) Comfort level (35%) Equipment availability (5%) Other ( 5%) BACKGROUND • Visual stethoscope in healthcare (Marin, 2011) • Assists in rapid clinical decision making and procedures (Main et al., 2010) • Developed a point-of-care ultrasound education module using ARCS model of motivational design by John Keller - Attention, Relevance, Confidence, Satisfaction • Presented ultrasound education module to NICU providers Barriers to using ultrasound • Point-of-care ultrasound is used in various adult healthcare settings for procedures (Evans, 2011) IMPLEMENTATION • Pre and post education survey completed by participants • Competency check list completed in hands-on skills station • Analyzed pre/post education survey results CONCLUSIONS Ultrasound can improve quality of care Strongly Agree (70%) Agree (25%) Neutral (5%), 5.0% • NICU providers along the Wasatch Front are interested in using point-of-care ultrasound for central line procedures (PICC, PALs, UAC/UVCs) in neonates • NICU providers believe that point-of-care ultrasound can improve the quality of care provided to neonates • Education and comfort level are the main barriers keeping NICU providers from using point-of-care ultrasound • Point-of-care ultrasound decreases insertion rate, procedural time and complications associated with central line procedures in adults and children (Tang, 2014) • Many NICU providers along the Wasatch Front would recommend this point-of-care ultrasound course to others • Not commonly used in neonatal population (Evans, 2011) Content Chair Perry Gee PhD, RN Content experts: Belinda Chan, MD, Marilyn Rigby DNP, NNP-BC