Date of Award

Fall 2020

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Nina McLain

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Michong Rayborn

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Intravenous (IV) access is essential to anesthetic practice as it allows the provider to administer fluids, sedative agents, and resuscitation medications. There is, however, a large subset of patients in which IV access can be difficult to obtain due to confounding factors such as preexisting disease, body habitus, and volume status (Sabado & Pittiruti, 2019). Bedside ultrasonography is an effective tool that can be used to gain IV access in these difficult patient populations. The downside to this technology is that there is a learning curve associated with its use, and proper training in ultrasound-guided venous access techniques is crucial to the successful implementation of this technology.

An Objective Structured Clinical Examination (OSCE) was created to serve as a training tool for nurse anesthesia students learning ultrasound-guided peripheral venous access techniques in The University of Southern Mississippi’s (USM) nurse anesthesia program (NAP). The OSCE was sent to an evaluation panel consisting of four USM NAP clinical instructors as well as two certified registered nurse anesthetists (CRNA). The OSCE was also sent to first and second-year USM NAP students for evaluation. A survey was used to determine the clarity, conciseness, effectiveness, and accuracy of the proposed OSCE. The doctoral project on evidence-based ultrasound-guided peripheral venous access was well received by the student respondents as well as the faculty in the USM NAP.

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