UltraNurse: teaching point-of-care ultrasound to intensive care nurses
Point-of-care ultrasound (POCUS) is extensively used to better manage critically ill patients at the bedside but relies heavily on skilled operator availability . Teaching POCUS to intensive care nurses could greatly improve this availability and could upgrade POCUS to a more continuous monitoring technique. Therefore, we developed, implemented and analyzed the UltraNurse training and certification program.
In our 24-bed mixed university hospital intensive care unit, we enrolled eight intensive care nurses without prior ultrasound knowledge. They attended two 4-h mixed theoretical and practical training sessions. Our UltraNurse protocol consisted of lung ultrasound (LUS)  and determination of the left ventricular outflow tract velocity time integral (LVOT-VTI), a proxy for the cardiac index . After performing five bedside ultrasound examinations under direct supervision, nurses were then supervised at the bedside every third examination until full proficiency was...
This study was supported by institutional funding only. We thank Lotte Exterkate, MD, for assistance during hands-on training; Sander Rozemeijer, MD, for posing as a model for Fig. 1; and all medical and nursing staff for supporting the UltraNurse program.
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no competing interest.
The local ethics committee permitted a waiver for informed consent for patient data processing (METc 2018.239). However, written informed consent by participating intensive care nurses was required and obtained.