2021 Volume 24 Issue 4 Pages 505-512
OBJECTIVES: This study aims to identify the effects of education of peripheral intravenous cannulation (PIVC) success factor in PIVC advanced technical course.
METHODS: 688 records of PIVC cases, from the data base of BANDO-MC (Ibarakiseinan Fire Department, Saitamatobu Fire Bureau, Noda-city Fire Department, and Tatebayashi Fire Department) between August 2018 to October 2019 were enrolled retrospectively. Data of August 1, 2018 to February 28, 2019 and April 1, 2019 to October 31, 2019 were compared due to the reason that PIVC advanced technical course held in March 2019.
RESULTS: A total of 688 PIVC were inserted. PIVC success rate before PIVC advanced technical course significantly improved from 53.8% (205/381) to 62.9% (193/307) (p<0.01). The cases of PIVC for shock patient increased by 24.6 points from 51.0% (53/104) to 75.6% (68/90) (p<0.01). There was no statistically significant difference in hypoglycemia cases, but it tended to increase from 74.1% to 79.5%. There was no change in the PIVC success rate for CPA. PIVC required time was significantly reduced from 2 minutes 58 seconds to 2 minutes and 22 seconds after advanced technical course (p<0.05). It was significantly shortened from 3 minutes before PIVC advanced technical course to 2 minutes and 24 seconds in hypoglycemia cases (p<0.05).
CONCLUSION: We showed education of PIVC success factor improved paramedic PIVC skill.
