Advanced Infusion Courses

[oldsockventriloquist]

Are there classes that provide advanced training for IV, IM, and IO placement? Could you get an advanced degree or certification to perform those tasks? For example, putting in an intraosseous line in the tibia, jugular vein catheter, or saphenous vein IV. I understand that training is provided in nursing school, but are there programs that offer specialized training?

[emtb2rn, BSN, RN, EMT-B]

I wasn't aware of io placement in the patella. Link a source for this please as it seems like a bad idea (to me at least).

[oldsockventriloquist]

I should have said tibia "below the knee" instead of "in". Here is an example of what I meant -

[Boomer MS, RN]

Are there classes that provide advanced training for IV, IM, and IO placement? Could you get an advanced degree or certification to perform those tasks? For example, putting in an intraosseous line in the knee, jugular vein catheter, or saphenous vein IV. I understand that training is provided in nursing school, but are there programs that offer specialized training?

From what I know, there is no certification for such placement training. I know from experience that some Level I trauma centers allow RNs, who are trained, to put in external jugulars. As far as saphaneous veins, I learned that in the ED. I'm thinking kids. Sometimes we had to put a line wherever we could get it. (That's another story...) We all helped each other. Intraosseous placement was taught in ACLS. Although I never did one, some of my former colleagues did. And I do not believe nursing schools teach anything but IM and SQ. Other skills can be learned later. Plenty of time for those.

[oldsockventriloquist]

In what situations did they do an IO placement? I imagine after a certain amount of time that becomes a good option in specific emergency situations.

[Boomer MS, RN]

In what situations did they do an IO placement? I imagine after a certain amount of time that becomes a good option in specific emergency situations.

During a code it was/is used to obtain difficult IV access. Sometimes the medics from the field would already have an IO in place under some circumstances. Yes, it is a good option. Perhaps others in EDs can offer information as to how much they've seen it used now.

[traumaRUs, MSN, APRN]

I use the EZ IO prehospital as a volunteer on my rural fire Dept. No special training needed. To me advanced IV skills is a central line