%0 Journal Article
%T Peripheral intravenous line skills among pediatrics and medicine-pediatrics residents at a single tertiary care center
%A Krishna Acharya
%A Amanda Weaver
%A Jingyun Li
%A Xinyu Tang
%J International Journal of Medical Education
%D 2013
%I IJME
%R 10.5116/ijme.5129.fe2b
%X Objectives: To assess pediatrics residents' self-reported competency in placing peripheral intravenous (IV) lines at baseline; to conduct a peripheral intravenous simulation-based training session for residents; and to measure peripheral intravenous (PIV) competency on manikins following the intervention as well as changes in scores of self-reported knowledge, confidence, and success from baseline. Methods: Pediatrics residents at Arkansas Children's Hospital participated in the study and completed a baseline survey assessing PIV knowledge, confidence, and success, and then attended a PIV training session in 2011. Training included a didactic session followed by demonstration on manikins. Residents completed an immediate post-intervention survey and a follow-up survey at 3 months. Primary outcomes were successful demonstrations of PIV skills as assessed by a PIV competency checklist. Secondary outcomes were increased self-reported scores of knowledge, confidence, and success with PIV placement. Forty-two residents completed the pre-intervention survey. Thirty-two finished the educational session and completed the initial survey. Thirty-one completed the survey at 3 months. Results: Thirty (94 residents were successful in demon-strating PIV competency. Participants' self-reported knowledge and confidence in PIV line placement improved significantly after this educational session, both immediately after and at 3 months, but overall confidence remained low, and there was no increase in success. Conclusions: Pediatric residents' self-reported competency with PIV placement is low. PIV training achieves residents' competency on a manikin, and improves perceived knowledge and confidence scores but overall confidence remains low. Such training should be supported by opportunities to place PIVs on real patients.
%K peripheral intravenous
%K pediatrics residents
%K simulation
%U http://www.ijme.net/archive/4/peripheral-intravenous-skills-in-pediatrics-residents.pdf