Description #
There are 2 components to knowing how to perform a procedure: 1) cognitive understanding of the procedure (i.e. indications, contraindications, complications, ordered steps) and 2) the psychomotor coordination and technical skill of performing the procedure itself. The unit will be organized into phases, moving from purely cognitive to progressively more psychomotor skill acquisition.
Phase1: Pre-course reading materials to include indications, contraindications, complications, ordered steps of each procedure.
Phase 2: Computer animation sequences will demostrate the key anatomical landmarks and ordered steps for Internal Jugular Vein, Subclavian vein, and Femoral Vein Catheterization.
Phase 3: Human Patient Simulator and Simman simulation scenarios. The learner must now manage the resuscitation of a critically ill patient in parallel with clinical decision-making, team leadership, and appropriate timing of the procedure during real-time patient encounters.
Learning Objectives #
At the end of this unit, learners should be able to perform:
1. Central line placement primarily in the femoral Vein using surface anatomy landmarks. Other sites will be reviewed
2. Central line placement using realtime ultrasound guidance.
Precourse Reading #
Article 1 #
Final Appraisal Determination: Ultrasound locating devices for placing central venous catheters
Article 2 #
Making Health Care Safer A Critical Analysis of Patient Safety Practices
Article 3 #
Real-Time Ultrasonographically-Guided Internal Jugular Vein Catheterization in the Emergency Department Increases Success Rates and Reduces Complications: A Randomized, Prospective Study