How to Develop a Training Program for Nurses in Ultrasound Guided Femoral Nerve Block

NCT04659395 | Completed

• 1 other identifier: 533039
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

In this study the intervention consists of a one-day-training program for nurses and three supervised ultrasound guided femoral nerve block (UGFNB) per registered nurse. The training consists of an instruction movie, one-day on-site-simulation and practical examination. The nurses are watching an instruction video and review current local guidelines for UGFNB in advance. The one-day training is situated in a simulation center and consists of theoretical and practical training divided into; infection prevention, anatomy, use of ultrasound and prevention and treatment of complications. A ultrasound model (Gen II Femoral Vascular Access and Regional Anesthesia Ultrasound Training Model) and a living human model is used to examine the femoral nerve and the neighboring structures using ultrasound. At the end of the one-day course, the nurses attends a practical examination with the researchers and anesthesiologists observing, to assure that they could perform the UGFNB procedure correctly. To pass the exam and be able to move on to the supervised blocks in real patients, there has to be a consensus between the researchers and anesthesiologist that they had sufficient knowledge and practical skills. 1) Sterile procedure 2) Management of the ultrasound machine and oral description of the anatomic surroundings in the groin area 3) Preparation of the local anesthetics and performance of an UGFNB. They also have to do an oral presentation in how they would perform a cardiopulmonary resuscitation procedure and how to manage complications / toxic reactions. Approved exam required at least seven points. This study will explore if a one-day course as described above is adequate, sufficient and maintains the safety framework of performing UGFNB in nurses

Conditions

Hip Fractures; Ultrasound Therapy; Complications; Pain, Acute

Keywords

Task shifting; Ultrasound guided; Training; Education; Emergency department; Registered nurse; Nerve block; Hip fracture

Outcome Measures

Primary Outcomes (1)

• Cumulative Numerical Rating Scale (NRS) - during passive movement at 120 minutes after start of procedure, measured by 5 timepoints

  Cumulative Numerical Rating Scale (NRS) - during passive movement (30 degree flexion in the fractured hip) in patients with hip fracture during stay in the ED at 120 minutes after admission, measured by five time Points; At the end of procedure, 30 min.-, 60 min.-, 90 min.- and 120 min after start of procedure. NRS score: 0 is no pain and 10 is the worst pain.

  120 minutes

Secondary Outcomes (25)

• Numerical Rating Scale (NRS) - during passive movement at baseline

  At baseline (timepoint 0)

• Numerical Rating Scale (NRS) - during passive movement after 30 minutes

  After 30 minutes from baseline

• Numerical Rating Scale (NRS) - during passive movement after 60 minutes

  After 60 minutes from baseline

• Numerical Rating Scale (NRS) - during passive movement after 90 minutes

  After 90 minutes from baseline

• Numerical Rating Scale (NRS) - during passive movement after 120 minutes

  After 120 minutes from baseline

Study Arms (1)

Emergency nurses

OTHER

Emergency nurses who are trained in an one-day course

Other: Emergency nurses

Interventions

Emergency nurses OTHER

Emergency nurses who are trained for one-day in ultrasound-guided femoral nerve block

Emergency nurses

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses or registered nurses with continuing education in acute nursing or geriatrics
• The nurses need to be aware that it will increase the workload in beginning of the project.
• Registered nurse has to be senior staff experienced i.e. worked in the ED
• Motivated to take on a new task in the ED
• Certificated in advanced CPR
• Familiar with routines in the ED and the relevant patient group
• They must be willing to be a part of this project for approximately 12 months.
• Working at least 75%.

You may not qualify if:

• Refuse to participate

Sponsors & Collaborators

• Sykehuset i Vestfold HF: lead
• University of South-Eastern Norway: collaborator

Study Sites (1)

Vestfold Hospital Trust

Tønsberg, 3103, Norway

Location

Related Publications (5)

• Dochez E, van Geffen GJ, Bruhn J, Hoogerwerf N, van de Pas H, Scheffer G. Prehospital administered fascia iliaca compartment block by emergency medical service nurses, a feasibility study. Scand J Trauma Resusc Emerg Med. 2014 Jun 23;22:38. doi: 10.1186/1757-7241-22-38.

  PMID: 24957807 BACKGROUND

• Mandy, L. . Nurse-led femoral nerve service for patients with fractured neck of femur. Advanced Nursing Practice in Pain Management. C. E. e. al., John wiley and sons: (2009)16.

  BACKGROUND

• Ketelaars R, Stollman JT, van Eeten E, Eikendal T, Bruhn J, van Geffen GJ. Emergency physician-performed ultrasound-guided nerve blocks in proximal femoral fractures provide safe and effective pain relief: a prospective observational study in The Netherlands. Int J Emerg Med. 2018 Mar 2;11(1):12. doi: 10.1186/s12245-018-0173-z.

  PMID: 29500558 BACKGROUND

• Layzell M. Nurse-led femoral nerve block service for patients with fractured neck of femur. 2010 05.02.18. In: Advancing nursing practice in pain management [Internet]. Chichester, West Sussex; Ames, Iowa: Blackwell Pub.; [16]

  BACKGROUND

• WHO (2008). Task Shifting - Global Recommendations and Guidelines. WHO. Geneva, Switzerland., WHO Document Production Services: 96.

  BACKGROUND

MeSH Terms

Conditions

Hip Fractures; Acute Pain; Emergencies

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Study Officials

• Elin saga, Nurse

  The Hospital of Vestfold

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant

Model Details: A methodology study

Study Record Dates

• First Submitted: November 12, 2020
• First Posted: December 9, 2020
• Study Start: September 19, 2019
• Primary Completion: January 30, 2020
• Study Completion: November 11, 2020
• Last Updated: December 9, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)