Point of care ultrasound use by Registered Nurses and Nurse Practitioners in clinical practice: An integrative review

2021 ◽  
Author(s):  
Robyn Totenhofer ◽  
Lauretta Luck ◽  
Lesley Wilkes
Keyword(s):  
Clinical Practice ◽  
Registered Nurses ◽  
Nurse Practitioners ◽  
Point Of Care ◽  
Integrative Review ◽  
Point Of Care Ultrasound

Current Clinical Practice in Point-of-Care Ultrasound Use in the PICUs Across Europe

2020 ◽  
Vol 21 (9) ◽  
pp. e716-e722
Author(s):  
Martien H. Humblet ◽  
Yogen Singh ◽  
Cecile Tissot ◽  
Daniele De Luca ◽  
Piet L. Leroy
Keyword(s):  
Clinical Practice ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Current Clinical Practice

scholarly journals Point-of-Care Ultrasound (POCUS) in the Field of Diabetology

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
X. Vandemergel
Keyword(s):  
Clinical Practice ◽  
Cardiovascular Risk ◽  
Clinical Examination ◽  
Carotid Arteries ◽  
Point Of Care ◽  
Intima Media Thickness ◽  
Point Of Care Ultrasound ◽  
Promising Tool ◽  
Ultrasonic Evaluation ◽  
Muscle Ultrasound

Ultrasound is increasingly used in daily clinical practice to improve the efficiency of the clinical examination. In this article, we reviewed its various possible uses in the field of diabetology. The ultrasonic evaluation of the carotid arteries (plaques and intima media thickness) allows improving the assessment of the cardiovascular risk. Steatosis can be detected relatively easily on liver ultrasound. Ultrasound also allows a more sensitive detection of lipohypertrophy resulting in glycemic fluctuations and thus increasing the risk of hypoglycemia than the clinical examination. Finally, muscle ultrasound appears to be a promising tool to assess the nutritional status and its consequences (e.g., falls).

scholarly journals Challenges and opportunities in point-of-care ultrasound: A qualitative exploration of respiratory physiotherapists’ experiences of lung ultrasound training and its adoption in critical care

Ultrasound ◽  
2021 ◽  
pp. 1742271X2110341
Author(s):  
Simon Hayward ◽  
Sue Innes ◽  
Mike Smith
Keyword(s):  
Critical Care ◽  
Clinical Practice ◽  
Lung Ultrasound ◽  
Imaging Modality ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Online Appendix ◽  
Adoption And Implementation ◽  
Patient Pathways ◽  
Challenges And Opportunities

Introduction Diagnostic lung ultrasound (LUS) is gaining popularity among respiratory physiotherapists as an imaging modality to aid pulmonary assessments, guide intervention selection, and monitor the efficacy of chosen interventions. The ability of respiratory physiotherapists to incorporate LUS into their clinical practice is influenced by multiple factors to adoption and implementation. The aim of this study was to explore the experiences of senior respiratory physiotherapists who have attempted to adopt and implement LUS into their clinical practice in critical care. It is hoped these experiences will inform the development of educational and adoption strategies for the future implementation of LUS. Methods Following a national call out, eight senior critical care respiratory physiotherapists were purposively selected to be interviewed using semi-structured questions exploring their varied experiences of LUS adoption into clinical practice in critical care. The transcribed data were thematically analysed. Results Five main themes emerged from the participants’ responses: (i) support for physiotherapists using LUS, (ii) knowledge and understanding of LUS evidence, (iii) governance, (iv) physiotherapists’ motivation to use LUS, and (v) resources. Quotes for each of the five themes are given as exemplars. Conclusion Participants reported a range of factors that influenced their ability to adopt and implement LUS into practice several were enabling, and others were barriers to progress. Online Appendix 1 contains recommendations from the authors to help guide managers and clinicians wishing to adopt LUS into respiratory physiotherapy services and patient pathways.

scholarly journals Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study

2020 ◽  
pp. emermed-2020-209689
Author(s):  
Peter J Snelling ◽  
Philip Jones ◽  
Gerben Keijzers ◽  
David Bade ◽  
David W Herd ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Nurse Practitioners ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Diagnostic Study ◽  
X Rays ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
X Ray ◽  
Distal Forearm Fractures

BackgroundPaediatric distal forearm fractures are a common ED presentation. They can be diagnosed with point-of-care ultrasound (POCUS) as an alternative to X-rays. Given that ED nurse practitioners (NPs) are relied on for the diagnosis of paediatric fractures, it is important to describe the diagnostic accuracy of NP-conducted POCUS versus X-ray.MethodsThis prospective diagnostic study was conducted in a tertiary paediatric hospital in Queensland, Australia, between February 2018 and April 2019. Participants were children aged 4–16 years with a clinically non-angulated, suspected distal forearm fracture. Diagnosis from 6-view NP-administered POCUS of the distal radius and ulna was compared against the reference standard of 2-view X-ray. Each patient received both imaging modalities. Overall forearm diagnosis was classified as ‘no’, ‘buckle’ or ‘other’ fracture for both modalities. The primary outcome was diagnostic accuracy for ‘any’ fracture (‘buckle’ and ‘other’ fractures combined). Secondary outcomes included diagnostic accuracy for ‘other’ fractures versus ‘buckle’ and ‘no’ fractures combined, and pain, imaging duration and preference for modality.ResultsOf 204 recruited patients, 129 had X-ray-diagnosed forearm fractures. The sensitivity and specificity for NP-administered POCUS were 94.6% (95% CI 89.2% to 97.3%) and 85.3% (95% CI 75.6% to 91.6%), respectively. ‘Other’ fractures (mostly cortical breach fractures), when compared with ‘buckle’/ ‘no’ fractures, had sensitivity 81.0% (95% CI 69.1% to 89.1%) and specificity 95.9% (95% CI 91.3% to 98.1%). Pain and imaging duration were clinically similar between modalities. There was a preference for POCUS by patients, parents and NPs.ConclusionsNP-administered POCUS had clinically acceptable diagnostic accuracy for paediatric patients presenting with non-angulated distal forearm injuries. This included good sensitivity for diagnosis of ‘any’ fracture and good specificity for diagnosis of cortical breach fractures alone. Given the preference for POCUS, and the lack of difference in pain and duration between modalities, future research should consider functional outcomes comparing POCUS with X-ray in this population in a randomised controlled trial.

scholarly journals Impact of point-of-care ultrasound on quality of care in clinical practice

2014 ◽  
pp. 81 ◽  
Author(s):  
Srikar Adhikari ◽  
Lori Stolz ◽  
Richard Amini ◽  
Michael Blaivas
Keyword(s):  
Quality Of Care ◽  
Clinical Practice ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals Analysis of an obstetrics point-of-care ultrasound training program for healthcare practitioners in Zanzibar, Tanzania

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Elizabeth A. Hall ◽  
Danielle Matilsky ◽  
Rachel Zang ◽  
Naomasa Hase ◽  
Ali Habibu Ali ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Training Program ◽  
Point Of Care ◽  
Course Completion ◽  
Point Of Care Ultrasound ◽  
Care Providers ◽  
Final Exam ◽  
Training Requirements ◽  
Hands On ◽  
The Impact

Abstract Background A point-of-care ultrasound education program in obstetrics was developed to train antenatal healthcare practitioners in rural Zanzibar. The study group consisted of 13 practitioners with different training backgrounds: physicians, clinical officers, and nurse/midwives. Trainees received an intensive 2-week antenatal ultrasound course consisting of lectures and hands-on practice followed by 6 months of direct supervision of hands-on scanning and bedside education in their clinical practice environments. Trainees were given a pre-course written exam, a final exam at course completion, and practical exams at 19 and 27 weeks. Trainees were expected to complete written documentation and record ultrasound images of at least 75 proctored ultrasounds. The objective of this study was prospectively to analyze the success of a longitudinal point-of-care ultrasound training program for antepartum obstetrical care providers in Zanzibar. Results During the 6-month course, trainees completed 1338 ultrasound exams (average 99 exams per trainee with a range of 42–128 and median of 109). Written exam scores improved from a mean of 33.7% (95% CI 28.6–38.8%) at pre-course assessment to 77.5% (95% CI 71–84%) at course completion (P < 0.0001). Practical exam mean scores improved from 71.2% at course midpoint (95% CI 62.3–80.1%) to 84.7% at course completion (95% Cl 78.5–90.8%) (P < 0.0005). Eight of the 13 trainees completed all training requirements including 75 proctored ultrasound exams. Conclusion Trainees improved significantly on all measures after the training program. 62% of the participants completed all requirements. This relatively low completion rate reflects the challenges of establishing ultrasound capacity in this type of setting. Further study is needed to determine trainees’ long-term retention of ultrasound skills and the impact of the program on clinical practice and health outcomes.

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