Vein measurement by peripherally inserted central catheter nurses using ultrasound: A reliability study

Sharp, Rebecca, Gordon, Andrea, Mikocka-Walus, Antonina, Childs, Jessie, Grech, Carol, Cummings, Melita and Esterman, Adrian 2013, Vein measurement by peripherally inserted central catheter nurses using ultrasound: A reliability study, JAVA - Journal of the association for vascular access, vol. 18, no. 4, pp. 234-238, doi: 10.1016/j.java.2013.08.001.

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Title Vein measurement by peripherally inserted central catheter nurses using ultrasound: A reliability study
Author(s) Sharp, Rebecca
Gordon, Andrea
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
Childs, Jessie
Grech, Carol
Cummings, Melita
Esterman, Adrian
Journal name JAVA - Journal of the association for vascular access
Volume number 18
Issue number 4
Start page 234
End page 238
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2013-12-01
ISSN 1552-8855
1557-1289
Keyword(s) ultrasound
peripherally inserted central catheter
vein measurement
Summary Background Peripherally inserted central catheters (PICCs) are increasingly inserted by trained registered nurses, necessitating the development of specialized skills such as the use of ultrasound. The selection of an adequately sized vein is an important factor in reducing adverse events such as deep vein thrombosis. However, PICC nurses may receive minimal training in the use of ultrasound for vein measurement. Objective We aimed to demonstrate the reliability of a vein measurement protocol using ultrasound by a PICC nurse trained in sonography. Methods The diameter of the basilic, brachial, and cephalic veins in the left arms of healthy participants (n = 12) were measured using ultrasound by a PICC nurse and a sonographer. A PICC nurse performed the measurement twice and the sonographer once; the PICC nurse's results were compared for intra-rater reliability and compared with the sonographer for inter-rater reliability. The results were analyzed using intraclass correlation coefficients (ICCs). Results Inter-rater reliability between the PICC nurse and the sonographer was adequate, the ICC for the brachial vein was 0.60 (95% confidence interval [CI], 0.06-0.87), basilic vein ICC was 0.87 (95% CI, 0.58-0.96) and cephalic vein ICC was 0.77 (95% CI, 0.39-0.93). Intra-rater reliability of the PICC nurse was higher; the ICC for the brachial vein was 0.80 (95% CI, 0.44-0.94), basilic vein ICC was 0.92 (95% CI, 0.67-0.98), and cephalic vein ICC was 0.78 (95% CI, 0.40-0.93). Conclusions Using a suitable protocol, a PICC nurse was able to measure vein diameter reliably when compared with a sonographer and consistently replicate these results.
Language eng
DOI 10.1016/j.java.2013.08.001
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088828

Document type: Journal Article
Collection: School of Psychology
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