Indications
- Central Lines
- Radial and Femoral Arterial Lines
- Peripheral IV in any patient with multiple prior failed attempts
- Obese patients
- Peripheral IV in oedematous or hypovolaemic patients whose veins aren’t readily visible on the surface.
- those with vein-debilitating conditions, such as sickle cell disease or cancer
- those who’ve undergone repeated venipuncture to administer prescription drugs or illegal substances to manage chronic conditions.
Credentialing Requirements
- Completion of an Accredited Course, ACEM Online Module or UTEC module.
- Attend our ED Workshop on US guided access or arranged 1-on-1 sessions with members of US-SIG.
- In those already competent at peripheral cannulation techniques, 3 successful directly supervised scans should be performed prior to independent practice.
- In those who are new to cannulation, competency must be gained at direct cannulation first, prior to any use of Ultrasound.
- For those undertaking central venous cannulation or arterial lines, 5 successful, directly supervised procedures are required.
- CVC and Arterial Line insertion assessments may double as your DOPS WBAs for ACEM.
- Supervision is to be via an ED Consultant or credentialled US competent Registrar.
Resources
Frankston Vascular Access Training Manual
AIUM Guideline on Vascular Access
Chapter 9 in Introduction to Bedside Ultrasound (Vol 1) – Central Lines
Chapter 8 in Introduction to Bedside Ultrasound (Vol 2) – Peripheral IV
EMCRIT Central Line Microskills
Video on US Guided Peripheral IV access via Sonosite
US-guided peripheral venous access – Tips for success
US IV video from 5minsono
peninsulapocus.com 