Brief Report| Volume 19, ISSUE 2, 104435, February 2023

Point-of-Care Ultrasonography for Advanced Practice Providers: A Training Initiative

Published:November 03, 2022DOI:


      • Point-of-care ultrasound (POCUS) is a valuable tool to augment medical decision making in the emergency and critical care settings.
      • Nurse practitioners (NPs) can augment clinical decision making through formal POCUS transthoracic echocardiographic (TTE) training and credentialing.
      • NPs can be trained in the acquisition and interpretation of POCUS studies, specifically TTE, using a multifaceted training approach.
      • Hands-on training augments proficiency in POCUS TTE image acquisition.


      The objective of this initiative is to determine the efficacy of a rigorous point-of-care ultrasonography (POCUS) training program for nurse practitioners (NPs) in the domain of transthoracic echocardiography (TTE). Two NPs and 1 physician assistant completed online and didactic training. Training was evaluated using multiple modalities. Assessment scores and self-perceived competency ratings improved in all aspects of the TTE examination after training. Hands-on supervision augmented the efficiency of training in study acquisition. A multifaceted approach to POCUS training is effective for NPs with optimal methodologies including didactic learning and supervised hands-on training for image acquisition.


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      Kelly A. Rath, DNP, ACNP-BC, Jordan B. Bonomo, MD, and Kathleen Ballman, DNP, ACNP-BC, CEN, are all with the Department of Neurocritical Care, Gardner Neuroscience Institute in Cincinnati, OH. Kelly Rath can be contacted at [email protected]