Degree Name

Master of Science in Nursing (MSN)

Document Type

Major Paper

School

School of Nursing

Department

Nursing

Abstract

Roughly 230 million peripheral intravenous (PIV) catheters are placed in the United States each year (Helm et al., 2015). The establishment of a PIV access may be lifesaving in times when emergent medications or procedures are critical for survival. The literature suggests the use of ultrasound guidance (USG) may decrease the attempts, decrease the length of time to obtain PIV access and improve patient satisfaction. The primary purpose of this study was to compare the longevity of ultrasound guidance PIVs versus the traditional method within the population of patients 18 years and older. A secondary outcome was to determine the most frequently used gauge needle, commonly used location of PIV and infiltration rate. The research was guided by the American Association of College of Nursing’s (AACN) Synergy Model as it best provided insight into improving patient outcomes by aligning patient needs and nurse competencies. A retrospective chart review was conducted with a total of 200 charts reviewed. Results concluded as follows: the traditional method was found to be superior in regards to longevity and was also found to have a lower rate of infiltrations. There were a number of limitations to this study such as the lack of information on the training of the health care provider placing the PIV, including the use of the Vascular Access Team or USG training. The number of attempts to obtain PIV access was not available for data analysis. Further research is needed with a specific focus on the extended dwell product along with the additional data collection of factors which may have affected the USG group.

Included in

Nursing Commons

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