in Medicine ( AIUM ) indicate that sterile probe protection and sterile gel should be the standard for all UGPIV insertions ( ACEP 2020 , Moore 2019 ).
While guidelines and recommendations for UGPIV insertion practices have some variation they all state that clinicians performing these procedures should have access to equipment , supplies and adequate training in the procedure . Results from this survey suggest that it is time for acute care policies on UGPIV insertions be reviewed , training and compliance with the procedure be
assessed , and standard supplies be consistently available . The volume of UGPIV insertions continues to increase in our patient populations and catheter no longer be replaced at scheduled times resulting in extended dwell time of these catheters adding to the concern . Patient safety fears regarding adherence to aseptic procedures and inconsistencies in clinician practices point to the need for heightened attention to these aspects of UGPIV leading to performance improvement to promote guideline adherence with all procedures ( Westerway 2017 ).
Table 1 . Row Percentages ( Frequencies ) and P Values for Fisher ’ s Exact Test for Nonrandom Association Between Respondent Position Versus Supply Use
UGPIV = ultrasound-guided peripheral intravenous ; IV = intravenous .
Used with permission from the Association for Vascular Access ( AVA )
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