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MDAC 2024: "Incorporating POCUS Training into Advanced Practice Nursing Education"

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2024-05-20
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Background: Diagnostic, point of care ultrasonography (POCUS) provides advanced practice nurses with essential data that can improve patient care. Point of care ultrasound involves a clinician obtaining images via focused scanning, interpreting such images, and then making appropriate changes to clinical management. The authors of previous studies have demonstrated that POCUS can be successfully taught and learned by advanced practice nurses (Kline et al., 2021). Methods: This diagnostic modality has been incorporated into the curriculum of the Adult Geriatric Acute Care Nurse Practitioner program and the Nurse Anesthesia program at the Johns Hopkins University School of Nursing (JHUSON). The curriculum involves 2 hours of didactic lecture, 1 hour of small-group ultrasound live scanning, and 1 hour of small-group practice with a POCUS simulator. The POCUS simulator used at the JHUSON is the CAE Vimedix (CAE Healthcare Inc.). The purpose of this simulator is to produce an ultrasound scanning extended reality experience. When a student applies the probe to the chest or abdomen of this simulator manikin, the monitor screen reveals an animated anatomical view, and an ultrasound simulated view. As the students move the probe, the image moves accordingly. This tool allows students to practice POCUS scanning techniques, and also allows them to visualize different pathologies that can be modified by the instructor (cardiac tamponade, decompensated heart failure, ect.). The last component of using the POCUS simulator involves the instructor changing the cardiac or intraabdominal pathology, and having the students scan the manikin, interpret the images, and use their critical reasoning to come to a diagnosis. During the live scanning workshop, students utilize different ultrasound modalities to scan standardized patients. The different modalities include cardiac, lung, abdominal, and trauma exams. Students are then evaluated using a modified version of the Objective Structured Assessment of Technical Skills (Di Pietro et al., 2021). Conclusion: Incorporating this technology into advanced practice nurse education is essential to best prepare future clinicians to adapt to the growing needs of the complex healthcare climate and to best care for the citizens of Maryland.

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Presented at the Maryland Action Coalition Virtual Leadership Summit 2024: Revolution vs. Rearrangement: How to Realistically Reimage Nursing Education and Practice
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