Despite intravenous cannulation being an essential skill for many health care professionals, the training received prior to cannulating a patient is variable. Simulation is one way to refine cannulation skills, whilst minimising potentially harmful novice attempts on patients and the associated emotional burden on the learner. Unfortunately, simulation models are not always available in the clinical environment, leading to loss of skill prior to performance.
ApproachWe created a training package with a novel simulation model that is quickly constructed from inexpensive equipment that is readily available in the clinical environment. To complement the model, we produced six-step instructions and video demonstrations. Pre- and post-intervention questionnaires were used to evaluate the impact.
EvaluationIn total, 67% (26/39) reported increased cannulation confidence after using the package. Comparison of cannulation success rates on real patients before and after demonstrated an increase in first-pass success from 50% (4/8) to 91% (10/11). All learners found each component of the training package to be useful and 95% (41/43) intend on using it again.
ImplicationsTogether, the six-step instructions, hand model, videos, and trainer feedback provide a complementary training package that can be used to increase cannulation experience, confidence, and success immediately prior to cannulating a patient. The equipment for assembling the model is inexpensive and readily available in clinical environments, offering increased simulation opportunities, even in resource-poor environments.
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