awong

Hi Everyone, Just wondering what other facilities are doing nationwide. I work for a very busy Level 1 Academic teaching facility. I was wondering what other facilities are doing with difficult access patients. Now I am the first person who is not afraid of difficult sticks and can put an IV in nearly anyone, however, I have worked in smaller institutions where IO access was taught to nursing and pushed for nursing to use in septic and coding patients. Are there other academic teaching facilities that do this? I understand the need is not as great because as with any teaching facility, you have plenty of hands and plenty of physicians who are looking to practice EJ's or central line access. So I'm wondering what are all your thoughts, and practice. With the new ENR from the ENA regarding US guided, are a lot of other hospitals providing training to staff ED nurses to do this? How is it coming along? I can think of several instances where this training could help out and wonder what the implications are and how we can get the ball rolling.