Carr Peter J, Glynn Ronan W, Dineen Brendan, Devitt Dara, Flaherty Gerard, Kropmans Thomas J B, Kerin Michael
Emergency Department RGN, National University of Ireland, Galway, Ireland.
Br J Nurs. 2011;20(4):S15-20. doi: 10.12968/bjon.2011.20.4.S15.
One of the most common procedures for junior medical doctors is peripheral intravenous cannulation (PIVC). Considering this, an understanding of the peripheral intravenous cannulation procedure is paramount.
The objective of this study was to identify the level of understanding of interns regarding intravenous cannulation.
An anonymized structured questionnaire using a knowledge attitude and practices (KAP) format was distributed to 60 interns affiliated to a university college hospital in Ireland.
This study suggests that interns are poorly prepared for one of the most common clinical skills they will perform. They showed poor understanding of whether peripheral cannulation is a clean or aseptic technique, and lacked knowledge of the potential side effects of peripheral cannulation and IV therapy.
A structured learning module on peripheral intravenous cannulation is required. A rigid, evidence-based, Objective Structured Clinical Examination (OSCE) on peripheral cannulation is recommended. The reduction of junior doctors' weekly working hours to 48 under the European Working Time Directive offers the potential for nurses to take ownership of IV cannulation. This will allow junior doctors to focus on other clinical skills and assessments, which can only be to the advantage of the patient.
对于初级医生来说，最常见的操作之一是外周静脉置管（PIVC）。鉴于此，对外周静脉置管操作的理解至关重要。
本研究的目的是确定实习医生对静脉置管的理解程度。
采用知识、态度和实践（KAP）格式的匿名结构化问卷，分发给爱尔兰一所大学附属医院的60名实习医生。
本研究表明，实习医生对他们将要执行的最常见临床技能之一准备不足。他们对外周置管是清洁技术还是无菌技术理解不佳，并且缺乏外周置管和静脉治疗潜在副作用的知识。
需要一个关于外周静脉置管的结构化学习模块。建议对外周置管进行严格的、基于证据的客观结构化临床考试（OSCE）。根据欧洲工作时间指令，将初级医生的每周工作时间减少到48小时，这为护士承担静脉置管工作提供了可能性。这将使初级医生能够专注于其他临床技能和评估，这只会对患者有利。
