Date of Award

Fall 2022

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Michong Rayborn

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Nina Mclain

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Central venous catheters (CVCs) are a vital part of the care and safety for critically ill patients requiring surgery. CVCs allow the anesthesia provider to administer medications that may be corrosive to smaller veins, monitor hemodynamic stability, and provide a way to swiftly treat hypovolemia and states of shock (Butterworth et al., 2018). CVCs also provide a route for access in patients with poor peripheral vasculature and a means for cardiac pacing (Butterworth et al., 2018). Placement of CVCs can be obtained through ultrasound-guided and landmark-guided methods. The major impediment of CVC placement is the lack of proper training in how to use the ultrasound and skills in using these techniques for placement.

The goal of this doctoral project was to create an objective structured clinical examination (OSCE) to aid in the education and evaluation of student registered nurse anesthetists (SRNAs) at The University of Southern Mississippi (USM) on the correct placement of ultrasound-guided and landmark-guided CVCs. The evidence-based practice provided the basis for this doctoral project. The OSCE was evaluated by a panel of USM’s Nurse Anesthesia Program (NAP) faculty and fellow SRNAs. A survey was utilized to gain insight into ways to improve the OSCE to provide the most effective and accurate education tool for SRNAs.

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