Nurse UltraSound (NurseUS)

This course is designed for nurses working in the emergency room, anesthesiology and intensive care. It is meant to teach nurses the principles of ultrasound, how to use and properly set an ultrasound machine and how to acquire good images. The techniques thought are meant to help nurses in their everyday practice, improving their outcome through easy and standardized protocols and techniques. The course will cover: ultrasound guided peripheral venous accesses in case of difficult veins, endotracheal and gastric tubes correct positioning confirmation, bladder scanning for identification of urinary retention and Foley catheter positioning confirmation and many other useful applications.

WE SUGGEST

Indicated for: Indicated for:

Anesthesiology

Intensive Care Medicine

Emergency Medicine

Internal Medicine

Surgery

Pediatrics

HOT INSTRUCTION - NurseUS

  • 3 Workstations (A1,A2,A3)
  • 6 hours of practical works
  • 3 rounds
    • HOT 1 = first day (120 min)
    • HOT 2 = first day (90 min)
    • HOT 3 = second day (150 min)
  • 3 Groups (4-5 people for each)
  • Rotation
    • There is no rotation
  • Healty models, laptop, simulations

 

PRACTICAL TOPICS & TRAINERS

HOT 1 SESSION

WORKST 1 – Machines’ setting
Each trainee should obtain on a healthy volunteer adequate abdominal views (hepatic or splenic view) commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all technical pitfalls and adjustment (gain, focus, TCD, etc…). A final interpretation of the probable diagnosis should be provided.

WORKST 2 – Airways management
Each trainee should obtain on a healthy volunteer adequate airways views (according to previous theoretic discussion) commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures.

WORKST 3 – Lung ultrasound
Each trainee should obtain on a healthy volunteer adequate pulmonary views commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures (A lines, B lines, etc…).

HOT 2 SESSION

WORKST 1 – Basic echocardiography (anatomy)
Each trainee should obtain on a healthy volunteer adequate subcostal A4-chambers views (comment technique, adequacy of image, visualized structures. Each trainee should:

  • recognize the view
  • judge quality of the image
  • indicate the visualized structure
The main goal is to identify all anatomical structures and start to identify 3-4 principal tips that could help the physician in all emergency situations (tamponade, pulmonary embolism, severe hypovolemia, etc…).

 

WORKST 2 – Lung ultrasound
Each trainee should obtain on a healthy volunteer adequate pulmonary views commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures (A lines, B lines, etc…). In this second day, all participant could integrate this informations with cardiac informations.

WORKST 3 – Peripheral line access
Each trainee should obtain on a BluePhantom model an adequate views of common vascular structures, commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures. Each trainee should pick a peripheral + central line US-guided.

HOT 3 SESSION

WORKST 1 – Basic echocardiography (CORE-scan)
Each trainee should obtain on a healthy volunteer adequate subcostal A4-chambers views (comment technique, adequacy of image, visualized structures. The main goal is to complete ad adequate CORE-scan, searching and identifying all anatomical landmarks to exclude (or confirm) an emergency pathological finding (tamponade, pulmonary embolism, severe LV hypokynesia, severe hypovolemia, etc…). The structured approach to COREscan interpretation will be proposed as a wrap-up for each clip.

WORKST 2 – Peripheral line access
Each trainee should obtain on a BluePhantom model an adequate views of common vascular structures, commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures. Each trainee should pick a peripheral + central line US-guided.

WORKST 3 – Clinical review
Each trainee should obtain on a healthy volunteer a complete set of eFAST views (commenting technique, adequacy of image, visualized structures). They’ll be asked to describe the presented anatomical findings/patterns. The structured approach to eFAST interpretation will be proposed as a wrap-up for each clip.