Ultrasound for Peripheral IV's

[RNCENCCRNNREMTP]

Is anybody using an ultrasound machine (like the Sonosite) for finding/starting peripheral IV's.

I did my first one the other night, deep brachial in a man who had bilateral forearm trauma and marked edema from overzealous crystalloids (when he had a prior IV that blew).

Worked great.

Andrew Bowman

[Warrn]

Hello Madam PICC and Iluvivt,

We are looking at developing a policy in our institution at this time for Ultrasound guided PIV's. Would it be possible to have you send me(or direct me to) your policies for this procedure? We are venturing out and want to start it off on the right foot.

Thank you

Warren

[iluvivt, BSN, RN]

At the 2009 AVA conference there was a presentation on this with suggestions for current guidelines....I outlined in a PM..let me see if I can find that and send it..ironically our policies matched . I know ours came from the "school of hard knocks"

[sr74PICC]

we have had similar needs with difficult access patients. in the past we would place piccs in anyone needing access or a power injection procedure. starting over a year and a half ago, i began researching and identifying products and techniques that would be helpful in meeting our needs. i have now developed a procedure to place deep vein pivs that are safe, can be power injected and used for 7-10 days.

i would love to go into detail, but i am a believer of evidence-based practice. my physicians have approved the procedure step by step and now i am going to collect the data from chart reviews. i have placed over 200 "deep vein piv' so the numbers should have some weight. it will take time, but patient safety is more important.

[juwilode10]

Madam PICC and iluvivt,

I am working on a sonosite iv learning module for my ED, would either you be able to send me copies of your institutions policy/procedure for us placed peripheral ivs? Only a few MDs in my ED and even fewer RNs have been using this technique. We currently have the sonosite Mturbo.

Any information is greatly appreciated.

Thanks!

[rgroyer1RNBSN, BSN, RN]

I have been doing this for years now as an ER and Sicu nurse coordinator, and nurse manager in a large level 1 trauma center and we have the titan but only the IV team, ER, and ICU nurse coordinators and charge nurses are trained to do it. It is a very advanced procedure and not every nurse should be do it on a routine basis.

[larsen_trevor]

My facility is also trying to incorporate a policy and procedures for ultrasound IV, my director has left it up to me to get the ball rolling. Any info would be greatly appreciated. My email is [email protected] if you have any thing to send me in right direction! thanks

[Teresita Pasalo]

Is there a special needle to order the 1 and 3/4 needle and 2.5 inch needle. Or can we use the extra needle found in the Bard PICC Kit?