Acute care sonography for nurses (acsn) 1

Acute Care Sonography for Nurses (ACSN)

Sonia ChauhanTrauma Nurse Coordinator,

JPNATC,AIIMSsonia_aiims@yahoo.co.in

Point of care-USG

Faster , Non-invasive

No Radiation exposure

Remote settings - Austere environment

Pregnancy

Pediatric population

No Need of specialized technician

Mass casualties scenarios

Why Ultrasound by Nurses ?

‘Point of care’ ultrasound : a visual tool

Blinded procedures: ? Patient safety issue

During Mass Casualty scenarios

Addressing the surge capacity issues in

imaging Department

Red Area Team (RAT)

EP2

HA2EN1

EP1

HA1

EP3

TL

EN2

CODE RED – ATLS

CODE BLUE - ACLS

HEAD END

TL Team Leader

EP1 Emergency Physician 1 (Surgery)

EP2 Emergency Physician 2 (Medicine)

EP3 Emergency Physician 3 (Orthopedics)

EN1 Emergency Nurse 1

EN2 Emergency Nurse 2

HA1 Hospital Attendant 1

HA2 Hospital Attendant 2

LET US RESUSCITATE IN A VISUAL WAY………!

Airway Assessment and

Management of Difficult Airway

Assisting in Intubation

Assisting in Surgical Procedure

Tube Confirmation

Confirm tube placement in 3 sec.Sens.& Sp. :-- 100%

J Ultrasound Med 2011; 30:671–676

BreathingRule out Pneumothorax

Haemothorax – E- FAST

Circulation

Assessment of fluid volume status - IVC Assessment

Circulation Ultrasound Guided I/ V access

Acute Care Sonography For Nurses

1. Subxiphoid2. Right upper

quadrant (RUQ) 3. Left upper

quadrant (LUQ) 4. Suprapubic

Circulation- FAST Exam

D: Seeing through Closed Eye

D- Intra Cranial Pressure monitoring

Optic Nerve Sheath Diameter assessment

E: Fracture detection

Foreign Body

Acute Care Sonography for Nurses (ACSN)

forum for empowering acute visual medicine globally

Acute Care Sonography for Nurses (ACSN)

Conducted along with AIIMS Ultrasound

Trauma Life Support Course

Duration – One and half day

No. of participants- 10 Nurses

Course contents:

Lectures followed by

Hands on skill stations

Baseline confidence questionnaire

Post Test Confidence questionnaire

n=88

Future…….. Independent Course

Duration – One day

No. of participants- 32 Nurses

Course contents:

Lectures followed by

Hands on skill stations

AIIMS nurses study group

1st,2nd and 3rd Prize in WINFOCUS-2011

To study the diagnostic accuracy of bedside ultrasound done by

nurses for identifying fractures in patients with orthopaedic

trauma presenting to emergency department of a level 1 trauma

centre

‘A Prospective evaluation of “focused assessment with

sonography for trauma” done by Emergency Nurses and its

comparative analysis with radiologists performance in identifying

fluid during initial resuscitation of trauma’

Accuracy of Bedside Ultrasound done by Emergency nurse to rule

out Traumatic Pneumothorax in the E D

“Join the mission with a vision to empower yourself in rescue to resuscitation while caring with compassion, commitment and competency towards the patient whom we care”.