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

Published:November 03, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.08.018

      Highlights

      • 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.

      Abstract

      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.

      Keywords

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      Biography

      Kelly A. Rath, DNP, ACNP-BC, Department of Neurocritical Care, Gardner Neuroscience Institute in Cincinnati, OH. Kelly Rath can be contacted at [email protected] .

      Biography

      Jordan B. Bonomo, MD

      Biography

      Kathleen Ballman, DNP, ACNP-BC, CEN