Peripheral intravenous line skills among pediatrics and medicine-pediatrics residents at a single tertiary care center
Krishna Acharya1, Amanda Weaver2, Jingyun Li3, Xinyu Tang3 and Franscesca Miquel-Verges4
1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
2Neonatal Intensive Care Unit, Arkansas Children’s Hospital, Little Rock, AR, USA
3Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
4Section of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Submitted: 26/11/2012; Accepted: 24/02/2013; Published: 03/03/2013
Int J Med Educ. 2013; 4:41-47; doi: 10.5116/ijme.5129.fe2b
© 2013 Krishna Acharya et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. http://creativecommons.org/licenses/by/3.0
Abstract
Objectives: To assess pediatrics residents' self-reported competency in placing peripheral intravenous (IV) lines at baseline; to conduct a peripheral intravenous simulation-based training session for residents; and to measure peripheral intravenous (PIV) competency on manikins following the intervention as well as changes in scores of self-reported knowledge, confidence, and success from baseline.
Methods: Pediatrics residents at Arkansas Children's Hospital participated in the study and completed a baseline survey assessing PIV knowledge, confidence, and success, and then attended a PIV training session in 2011. Training included a didactic session followed by demonstration on manikins. Residents completed an immediate post-intervention survey and a follow-up survey at 3 months. Primary outcomes were successful demonstrations of PIV skills as assessed by a PIV competency checklist. Secondary outcomes were increased self-reported scores of knowledge, confidence, and success with PIV placement. Forty-two residents completed the pre-intervention survey. Thirty-two finished the educational session and completed the initial survey. Thirty-one completed the survey at 3 months.
Results: Thirty (94%) residents were successful in demon-strating PIV competency. Participants' self-reported knowledge and confidence in PIV line placement improved significantly after this educational session, both immediately after and at 3 months, but overall confidence remained low, and there was no increase in success.
Conclusions: Pediatric residents' self-reported competency with PIV placement is low. PIV training achieves residents' competency on a manikin, and improves perceived knowledge and confidence scores but overall confidence remains low. Such training should be supported by opportunities to place PIVs on real patients.