Highlights
  • The survey confirms that UGPIV procedures are performed frequently with half of respondents reporting 5–20 procedures per day.

  • Results demonstrate a wide variety of supply usage practices and inconsistencies between departments with UGPIV insertions.

  • Sterile gel was used by 56% and more than 22% of survey respondents stated they sometimes used each of the gel categories of multi-use, single gel packet and sterile gel packet.

  • In 41% of vascular access specialists and 51% of ED clinicians reported inadequate gel removal caused securement and dressing adherence issues.

  • These results suggest the need for investigation of guideline application and policy development to ensure patient safety with UGPIV insertions.

Abstract

Background: The purpose of this study was to investigate ultrasound-guided peripheral intravenous (UGPIV) supply usage practices by clinicians working in vascular access, in emergency departments (EDs), or in other roles.

Methodology: In 2019, a voluntary cross-sectional descriptive survey was conducted via SurveyMonkey. Data collected included demographics, practice-oriented information, procedural activities, and supplies used for UGPIV insertions. Frequency distributions and results of Fisher’s exact test and one-way analysis of variance were reported using R v.3.5.2.

Results: A total of 26,649 surveys were distributed with a response rate of 5.5% (n = 1475). Forty-eight percent of respondents (n = 709) indicated that they worked in a vascular access role, 310 (21%) worked in an ED, and 455 (31%) categorized their role as other. Clinically meaningful differences existed in all variables for UGPIV procedures and supplies between departments (P < 0.0001) and in all care settings. Using an investigator-constructed overall metric of supplies used, important differences were demonstrated between personnel supply use in vascular access roles and other roles (P < 0.0001) and personnel in EDs and other roles (P < 0.0001).

Conclusions: Use of supplies for UGPIV insertions varies by department. The variability in supply usage for UGPIV insertions revealed by this survey suggests a need for clinical education on guideline application and evaluation of compliance with policies to promote standardization of supplies for UGPIV insertion.

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