Miscellaneous
Bret P. Nelson, MD, RDMS, FACEP Courtesy of Bret Nelson Twitter: @bretpnelson Website: SinaiEM.us YouTube: SinaiEMultrasound Bret Nelson is a Professor of Emergency Medicine, Chief of the Emergency Medicine Ultrasound Division at the Icahn School of Medicine at Mount Sinai, Chief Editor of the ultrasound education website, www.SinaiEM.us. He is on the board of directors of the Society for Clinical Ultrasound Fellowships and active in the American College of Emergency Physicians (ACEP)'s Ultrasound Section and is among the authors of ACEP's Emergency Ultrasound Guidelines. Served on the Board of Directors of the World Interactive Network Focused on Critical Ultrasound (WINFOCUS) and was Chair of the American Institute of Ultrasound in Medicine’s Point of Care Community of Practice Authored several books, Manual of Emergency and Critical Care Ultrasound, Emergency Medicine Oral Board Review Illustrated, Atlas of Handheld Ultrasound, and Acute Care Casebook. Dr. Nelson has lectured throughout the world on the use of point-of-care ultrasound to aid medical decision-making and improve patient safety. His research interests include ultrasound and medical education. Want to take a Ultrasound Guided Peripheral IV Intensive Course? We have one coming up! Saturday October 13, 2018 We're providing a 4:1 attendee to instructor ratio in a 4 hour training program so you get tons of hands on experience to learn this awesome skill! Spots are limited! Sign up and complete info here at EventBrite Resus Nurse Podcast and Blog Discount: ResusNurse10 USG PIV Course10132018 PDF Missed 021 Nurses Placing Ultrasound Guided IV Access w/Bret Nelson, MD Episode? Click Here "This isn't some brand new skill. This is a technique through which you can optimize your existing skills in venous access." ~Bret Nelson How to Start a Nurse Ultrasound IV Training Program?! Nurse Driven Program Nurses interested in ultrasound should be the course director(s). Doesn't necessarily have to be the unit Nurse Educator. If working with MD, have multiple Course Directors or MD can be there to help out initially. Nurses can and should drive this program. Nurses teaching nurses a new skill offers insight that providers aren't able to provide. Only takes 1-2 Nurses to drive practice change within a unit! Multidisciplinary Course Directors and/or Instructors (RN and MD) Both nurses and physicians bring a lot of their own skills to the table. Combining skills, we learn from each other and ultimately become better at obtaining IV access with ultrasound use. ED Initiative for ED Nurses and ED Culture Utilizing Multidisciplinary Support A positive initiative that improves patient care. We created a culture where once a nurse finishes competency, they are able to place ultrasound-guided IV access on their own. Sometimes, you run into trouble and usually it's because the patient has limited veins, so they are still able to ask for help. Have another person look with the ultrasound. It's okay to ask for help! This has also increased more collegial respect between disciplines and increased teamwork. Nurse buy-in and Physician buy-in We decided to make this program optional for nurses. Currently we only have this program for our adult population in the ED. Nurses love the program and so do our patients! Support from Nursing and Physician Leadership Talk to your Nursing and Physician Directors of your department. Keep them in the loop. I have found Leadership to be extremely supportive and helpful. Nursing Policy and Nursing Education Written policy for nurses is important to have in writing within your department/institution. Work with your Nursing Director and/or Nursing Education in order to develop policy if it's not already written or change/expand existing policy. Know your policy. Some may restrict this skill to nurses working in specific departments.