I called the california nursing board yesterday asking
about ultrasound 'certification'; this is what I was
told:
RNs don't need to be 'certified' using ultrasound for
venous access. but there needs to be documentation to
show that you are competent: training (can be as
simple as how to use the machine), at least two
successful return demonstrations observed by competent
trainer(s), P&P. 

--- Alma Kooistra <[EMAIL PROTECTED]> wrote:

> The messages that passed through yesterday re
> ultrasound certification got 
> me to thinking........
> 
> I am crippling through the process of mastering PICC
> placement using 
> ultrasound.  My training has consisted of having
> Boston Scientific send down 
> a couple of Ultrasound trained nurses who
> accompanied me for one day.  
> Neither were licensed in our state so couldn't touch
> anyone and just coached 
> at the bedside.  They watched me during one
> insertion and a couple of our 
> other staff during one insertion as well.  I had
> never seen a line placed 
> using ultrasound until the day I did it with them
> (and it wasn't 
> easy.........).
> 
> Since that day I have been out there struggling to
> get through the learning 
> curve on my own.  I've read P/P for line insertion
> using ultrasound ad 
> nauseum.  Beyond that I've had no other training.
> 
> How well protected am I in case of a lawsuit?  I'm
> starting to get a little 
> nervous.  I could hardly expect the staff who
> watched me though that one 
> first insertion to sign me off as
> competent......they would be crazy to do 
> that since I clearly was not competent.  I have
> another trainer coming next 
> week.  Is it possible that this amount of training
> would cover me if I have 
> a bad outcome?  I don't know if there's anyone in
> our area (South Dakota, 
> Northwest IA) placing lines at the bedside using
> ultrasound so it's not easy 
> for me to get training.  My managed chuckled when I
> asked about getting $$$ 
> to go somewhere for training.
> 
> Alma Kooistra RN, CRNI
> 
> 
> 


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