MTP7.15 Ultrasound-guided vascular access training for resident surgical doctors; a quality improvement project

Aims We identified a need for US-guided vascular access training. Many resident doctors in the general surgery department found it difficult to obtain vascular access in difficult cases and anaesthetists are not always available to help especially during weekends and out of hours. We thought the best way to tackle this is to train more resident doctors in the skill. Methods We used a questionnaire to identify learner’s knowledge, experience and confidence in inserting cannulas with US guidance. It was filled out pre- and post-training. The training included a small lecture then hands-on practice with US machines and branched four vessel models. We used a one-on-one training approach to maximise benefit. Results From the feedback form, we determined that confidence in US guided cannulation increased among learners after the session. The learners now know where to find US machines in the building and all of them expressed they would like to have more sessions to practice and develop their skills. Conclusions US-guided vascular access is becoming an essential skill for resident doctors. There is an increasing demand for this skill as more complex patients are being admitted in surgical wards. Structured training by the hospital is recommended.