Walsh Andrew, Colio Pedro A, Singh Sukhdeep
Author Affiliations: Hahn School of Nursing and Health Sciences, University of San Diego (Dr. Walsh); San Diego State University, Imperial Cardiac Center (Dr. Colio); and University of California, San Diego (Dr. Singh).
Adv Emerg Nurs J. 2025;47(3):250-259. doi: 10.1097/TME.0000000000000583. Epub 2025 Jul 31.
Point of Care Ultrasound (POCUS) is increasingly integrated into emergency medicine to improve clinical decision-making and patient outcomes. While POCUS training is a standard component of emergency medicine fellowship programs, training for Emergency Nurse Practitioners (ENPs) remains underdeveloped and lacks standardized competency assessment. The American College of Emergency Physicians (ACEP) recommends online didactic training to supplement in-person sessions focused on image acquisition and interpretation. This pilot project aimed to enhance POCUS training for ENPs by incorporating ACEP's online modules into the existing ENP sonogram program. Former and current ENP students completed a confidence survey based on their sonogram skills, with former students receiving traditional in-person training and current students completing online didactic modules before their lab sessions. Results indicated a significant increase in confidence across several ultrasound applications, including Extended Focused Assessment with Sonography in Trauma (eFAST) and echocardiograms. The addition of online training resulted in increased confidence in performing eFAST (28.57% increase), focused echocardiograms (25% increase), ocular sonograms (41.67% increase), but a decrease was seen in vascular access by 16% due to limited time spent on this exam. Students who completed the new training method demonstrated higher proficiency in performing eFAST exams on live models. Integrating online modules into ENP sonogram training is a cost-effective method for delivering didactic content, allowing more time for hands-on practice.
床旁超声（POCUS）越来越多地融入急诊医学，以改善临床决策和患者预后。虽然POCUS培训是急诊医学住院医师培训项目的标准组成部分，但急诊护士从业者（ENP）的培训仍不发达，且缺乏标准化的能力评估。美国急诊医师学会（ACEP）建议进行在线理论培训，以补充侧重于图像采集和解读的面对面课程。这个试点项目旨在通过将ACEP的在线模块纳入现有的ENP超声检查项目，加强对ENP的POCUS培训。以前和现在的ENP学生根据他们的超声检查技能完成了一项信心调查，以前的学生接受传统的面对面培训，而现在的学生在实验室课程之前完成在线理论模块。结果表明，在包括创伤超声重点评估（eFAST）和超声心动图在内的几种超声应用中，信心有显著提高。增加在线培训导致在进行eFAST（提高28.57%）、重点超声心动图（提高25%）、眼部超声检查（提高41.67%）方面的信心增加，但由于在该检查上花费的时间有限，血管通路检查的信心下降了16%。完成新培训方法的学生在对活体模型进行eFAST检查时表现出更高的熟练程度。将在线模块整合到ENP超声检查培训中是一种提供理论内容的经济有效方法，能留出更多时间进行实践操作。
