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The learning outcome of the course was to educate nurses on the new protocols and technology to complete this procedure on difficult patients. I feel that the curriculum attended very well to these goals. It was always on task and efficient in its training. I'm guessing that it was so efficient because it was through the hospital to train the staff and they did not want to waste time.
After the training I was certified and expected to use this technique on difficult patients. The only lacking competency was using this technique on children. I had not had any previous experience of inserting lines into children and was unaware of protocols or strategies to ease the child's nervousness. This was addressed by more senior nurses in the pediatric ward who would remain in the room and assist me with the children. After a few children, I understood the techniques.
One example of where the curriculum was especially helpful...
Using the knowledge gained, I was able to insert the line on the first pass without causing the mother any pain (Brannam, 2008). An example of where it failed was my first attempt at inserting a line into an eight-year-old child. The child was entirely uncooperative and had to be held down during the procedure, so even though the actual insertion caused her no pain, she was still under considerable stress due to my lack of knowledge.
References
Brannam, Larry (2008); et al. Emergency Nurses' Utilization of Ultrasound Guidance for Placement of Peripheral Intravenous Lines in Difficult-access Patients. Academic Emergency Medicine. Vol 11.12, 1361-1363.
Overton, David (2005). Ultrasonography-Guided Peripheral Intravenous Access vs. Traditional Approaches in Patients With Difficult Intravenous Access. Annals of Emergency Medicine. Vol 46.5, 456-461.
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