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.
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.